4Cost | More Savings

Put an end to rising plan costs.

Few employers know what goes into their healthcare costs—but one thing is for certain. Costs continue to rise with no end in sight. What is the true cost of healthcare, anyway? Reversing the pattern of rising costs requires employers to answer this question.

By addressing every dimension of the healthcare cost equation, 4Cost provides businesses the data-driven purchasing power needed to improve plan value.

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The key to reversing the direction of rising plan costs.

The Capabilities

  • Cost Dimension 1: Members

    Understand which cohorts are the most and least costly in your plan, uncover trends, and identify opportunities to lower spending on your most expensive members.

  • Cost Dimension 2: Disease States

    Manage costs associated with chronic conditions and make timely interventions to improve member adherence, enhance population health, and decrease total spending.

  • Cost Dimension 3: Provider

    Analyze cost data on provider service rates to identify which in-network providers fall short, and which out-of-network providers provide the greatest value.

  • Cost Dimension 4: Procedure

    Dive into service and procedure cost data to identify procedures responsible for the greatest overall spend and isolate the most effective providers for specific service lines.

  • Cost Dimension 5: Outcomes

    Compare costs and patient outcomes to better understand the correlation between success and spending, then optimize the makeup of your plan.

cost background
members
disease states
provider
procedure
outcome

The Value of 4Cost

Gain Negotiating Power

By providing insight into how plan costs compare to other employers and fair market pricing, 4Cost supports plan design, Rx costing, and network repricing and negotiation.

The health share of the economy is projected to climb to 19.7% by 2026—up from 17.9% in 2016.
Healthcare Innovation

Ensure High-Value Care

By quantifying unnecessary episodes of care and identifying wasted spend, 4Cost highlights targeted actions to maximize member value and reduce plan costs.

It is estimated that between one third and one half of healthcare spending does not add value.
Forbes

Optimally Structure Plan Design

By identifying popular out of network providers and in network providers that are under-performing, 4Cost enables employers to proactively structure their plan to improve outcomes.

Out of network treatment results in bills that are 118% to 1,382% higher than what the federal Medicare system is billed.
America’s Health Insurance Plans

Understand How Plan Costs Compare

By comparing your costs against other businesses and benchmarks, 4Cost provides critical understanding of the true cost of healthcare.

U.S. healthcare costs are expected to reach almost $15,000 per employee in 2019.
Society for Human Resource Management

infographic totaling fraud damages

Healthcare: The Cost of Confusion

Totaling the Damages
An Employer’s Guide to Quantifying & Eliminating Fraud, Waste & Abuse

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From Our Blog

 

March 20, 2019

The Informed Customer is Always Right

Recent News

 

4c health new web launch

March 15, 2019

4C Health Solutions: Employer-Centered Focus on Health Care Costs Drives New Website

Twitter

"Employers continued to see moderate health benefit cost growth of 3.6% in 2018, but projections of a 4.4% hike this year would be above the consumer price index and employees' earnings growth, a new Mercer survey warns." #healthcare #employer #insights https://t.co/lCcJUtLsFj

4C Health Solutions is excited to announce the launch of its newly redesigned website. #healthcare #costs #transparency #insights #employers https://t.co/fUf32fMPoN

“Patients are becoming wiser consumers, and much more empowered consumers..." #healthcare #artificialintelligence #costs #insights https://t.co/KtzsjARvXu

Shielded payment and quality-related data reflect the misaligned incentives of the current healthcare payment ecosystem, forcing those paying for healthcare to accept the ever-rising costs. #healthcare #costs #transparency https://t.co/Bp9ekGnAtb

It’s more than your right to see your claims data, it’s your fiduciary responsibility under ERISA law. But assuring compliance in today’s complex claims ecosystem can seem an insurmountable feat—that is, until now. #transparency #costs #healthcare #ERISA https://t.co/TeN4kFdZab