Gravie's Comfort® Health Plan Saves Small and Midsize Businesses, Employees Money While Increasing Utilization of Common Healthcare Services
For calendar year 2022, employers averaged a 15% reduction in premiums compared to their prior carrier renewal. The savings also extended to employees with the Comfort plan, who spent 20% less on claims than their colleagues on a traditional copay or HSA plan, and 61% less in out-of-pocket expenses.
At the same time as they experienced savings, employees took advantage of the 100% coverage Comfort offers on the most common healthcare services, using their benefits more frequently than those on a traditional plan that charges copays and deductibles for the same services. Comfort members had higher engagement with the following services: primary care, specialty care, imaging, mental health visits, urgent care and pharmacy. Meanwhile, claims for Comfort members averaged
"The 2022 data on Comfort's performance demonstrates that the plan is not too good to be true—which is typically the first response we hear in the market when we're talking about this plan," said
Comfort is a level-funded health plan, which mitigates financial risk for employers and may even result in a refund of premiums if, at the end of the plan year, premiums outpace claims. Level-funding has typically been out of reach for small and midsize employers.
While most individuals and employers are spending more than ever on healthcare these days, the latest Comfort performance data shows the potential cost savings of eliminating copays and deductibles on the most common healthcare services. For example, Comfort members are averaging five free medical visits per year compared to the industry average of 2.8 free visits per year.
This plan performance news comes at a time when
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