A simpler approach to alternative plan design
This new benefit design offers self-funded groups a less disruptive and more affordable alternative health care experience for their workforce. Recent figures show Embold Edge can help lower employer costs by 5 to10 percent by helping members avoid unnecessary care, experience fewer complications and receive care that closely follows clinical best practices1.
The Embold Edge offering through Meritain Health brings together:
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- Access to broad national provider networks.
- Digital tools that help members find high-quality care.
- Differential copays and reimbursement strategies.
- Lower out-of-pocket costs when members choose higher-quality providers.
- Financial support to help manage out-of-pocket costs.
- Simplified administration that works across existing benefit plans.
For employers, the solution offers administrative simplicity and can be integrated as a plan overlay into existing benefit structures.
Making high-quality care more accessible and affordable
Because provider choice has a significant influence on health care spending, Embold Edge helps members find higher-quality providers early in the care journey. Members can also save when they choose top-performing providers.
In addition, members can use the TempoPay® interest-free payment platform to pay for eligible medical and pharmacy expenses. This added flexibility makes it easier for members to access the care they need while managing costs over time.
Employers also have the flexibility to align copay and reimbursement structures with their overall benefits strategy.
Advancing the future of employer-sponsored health care
As employers look for new ways to manage total cost of care without reducing access or shifting more expense to employees, quality-driven benefit designs are emerging as a practical strategy for improving affordability and outcomes.
Contact your Meritain Health representative for more information.
1For more information on potential savings, visit https://quantum-health.com/embold-edge.
Actual savings may vary. Plan features and availability may vary and are subject to change.
