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What is Frontier Health?
A DPC and CASH centric insurance program for self insured employers
What are the components?
Frontier Direct Care
• Can handle 80% lifetime needs
• No wait times, no co-pays, no deductibles
• Custom brick and mortar locations
• Dedicated primary care provider (PCP)
• Unlimited access to your PCP
• 1,000 prescription included with Frontier Rx
• No wait times, no co-pays, no deductibles
• Custom brick and mortar locations
• Dedicated primary care provider (PCP)
• Unlimited access to your PCP
• 1,000 prescription included with Frontier Rx
Frontier Direct Pay
• Can handle 15% of lifetime healthcare needs
• 100% transparent pricing on all referrals
• Concierge navigation & negotiation
• Nationwide network
• Direct contracts with specialists & hospitals
• Contracted cancer solutions
• 50% reduction in specialty spend
• 100% transparent pricing on all referrals
• Concierge navigation & negotiation
• Nationwide network
• Direct contracts with specialists & hospitals
• Contracted cancer solutions
• 50% reduction in specialty spend
Frontier Admin
• Fully integrated TPA & PBM with live claims reporting
• Full fiduciary & regulatory compliance
• International sourcing & NO rebate games
• Full fiduciary & regulatory compliance
• International sourcing & NO rebate games
Frontier Insurance
• Powered by Stealth/Amwins with 15% decrease on reinsurance premium
• Frontier shares in risk with employer
• Guarantee on savings up to $5 million
• Frontier shares in risk with employer
• Guarantee on savings up to $5 million
Frontier Tech
• Proprietary platform with real time data, ROI reporting, & live dashboards
• Easy to use mobile app for all member needs
• All data tracked & reportable to all parties & vendors in real time
• Easy to use mobile app for all member needs
• All data tracked & reportable to all parties & vendors in real time
How is it different?
Frontier shares in the risk with employer. When employers spend more, Frontier loses money. When employers save money, Frontier makes money.
Frontier Health looks and feels the same as the BUCA but yields different results for everyone involved.
Employee & Family
- Affordable, accessible & enjoyable Employer
- Affordable & easy to purchase Broker
- Profitable & easy to sell Frontier & its partners
- Profitable & achieves the mission
Average 25%-30% savings for the employer
How does it work?
By make Frontier Direct Care the front door of your employee’s healthcare experience, it will result in reduced cost, improved outcomes, and enhanced experiences.
Member Journey
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Claims Journey
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What are the results?
95%
FDC and FDP can handle 95% of your lifetime healthcare needs without ever engaging with a network.
Average 25% - 30% savings, and we will guarantee those savings up to $5 million
Frontier shares in the risk with you.
When you spend more, Frontier loses money.
When you save money, Frontier makes money.
When you spend more, Frontier loses money.
When you save money, Frontier makes money.
17%
Reduction in Annual Spend
94
NPS Score
50%
ER Reduction
63%
Average Year 1 Utilization
Decreased Cost
• Reduce unnecessary ER visits & hospital admissions
• Direct contract with: labs, imaging, ancillary services, specialist, hospitals and cancer care
• Frontier RX = 1000 free prescriptions
• 50% decrease in specialist spend
• Direct contract with: labs, imaging, ancillary services, specialist, hospitals and cancer care
• Frontier RX = 1000 free prescriptions
• 50% decrease in specialist spend
Increased Quality
• Single point of advocacy
• Bilingual care team
• No surprise bills
• 94 NPS score
• Simplify budgeting & cost forecasting with transparent, predictable monthly fees
• Facilitate easier claims processing
• Bilingual care team
• No surprise bills
• 94 NPS score
• Simplify budgeting & cost forecasting with transparent, predictable monthly fees
• Facilitate easier claims processing
Increased Access
• Unlimited access to your provider
• Earlier identification & treatment
• Personalized care plans leading to improved employee health
• Care barriers removed
• Improved Rx adherence
• Earlier identification & treatment
• Personalized care plans leading to improved employee health
• Care barriers removed
• Improved Rx adherence
How does it save money?
5 Year Projected Cumulative Savings
27% - $30,000,00
*Net Savings is subject to change based on accurate data being provided. Based on 2,500 Employee Group
Average Savings:
25% - 30%
Guarantee:
Up to $5M
Cost Breakdown
25% - 30% Average Annual Savings
Frontier Tech
What are the features?
• Proprietary platform with real time data, ROI reporting, referral tracking & live dashboards
• Easy to use mobile app and portals for employer, employees, & health plan administrators
• All data is tracked & reportable to all parties & vendors in real-time
• Powerful Data analytics:
○ Population health & risk factor analysis
○ Utilization reporting
○ Patient demographic reporting & eligibility management
○ Chronic disease management reporting
○ Referral tracking/prior authorization
○ Billing reporting
○ Customer service ticketing
○ Member satisfaction reporting (NPS)
• Easy to use mobile app and portals for employer, employees, & health plan administrators
• All data is tracked & reportable to all parties & vendors in real-time
• Powerful Data analytics:
○ Population health & risk factor analysis
○ Utilization reporting
○ Patient demographic reporting & eligibility management
○ Chronic disease management reporting
○ Referral tracking/prior authorization
○ Billing reporting
○ Customer service ticketing
○ Member satisfaction reporting (NPS)
How much does it cost?
• Included
What are the results?
• Transparency into cost and performance - everything is available to & nothing is hidden from health plan administrators
• Industry leading patient satisfaction, resulting in a 94 NPS
• Patients engage with their provider & get healthier which drives down overall health plan costs
• Industry leading patient satisfaction, resulting in a 94 NPS
• Patients engage with their provider & get healthier which drives down overall health plan costs
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Typical Patient Journey
1. Proactive Outreach by FDC: FDC reaches out via email/voice/text to educate & engage each patient.
2. Schedule an Appointment: Patient uses mobile/web-enabled device to schedule & communicate with FDC.
3. Continued Education & Engagement: Patient is prompted to submit health information to drive personal health plans & receives continued digital education on how to utilize FDC membership.
4. Complete First Appointment: Patient completes first appointment & has an ongoing relationship with their FDC provider.
2. Schedule an Appointment: Patient uses mobile/web-enabled device to schedule & communicate with FDC.
3. Continued Education & Engagement: Patient is prompted to submit health information to drive personal health plans & receives continued digital education on how to utilize FDC membership.
4. Complete First Appointment: Patient completes first appointment & has an ongoing relationship with their FDC provider.
Pricing & Options
See how Frontier reduced this employer's health plan cost by 25%
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