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Innovative Healthcare Plan Designs to Meet Your Employees’ Needs

By July 26, 2022April 29th, 2026Employee Benefits

Rising healthcare costs are a challenge for both employers and employees. Premiums, doctor visits, and prescription expenses continue to climb, leaving employees searching for ways to manage unplanned medical costs. Fortunately, there are innovative employee healthcare solutions designed to protect employees’ health and savings while helping employers control costs.


HSAs: EMPOWERING EMPLOYEES TO SAVE

One popular consumer-driven option is pairing a high deductible health plan (HDHP) with a health savings account (HSA). This alternative to traditional health plans empowers employees to take control of their healthcare spending.

Advantages of HSAs:

  • Tax-free contributions, growth, and withdrawals for medical expenses
  • Funds roll over annually and can be used anytime
  • Encourages long-term savings for future healthcare needs

CAPTIVE INSURANCE: GREATER CONTROL OVER RISK

Captive insurance provides a unique method of risk transfer, giving employers more control over losses and claims.

Advantages of Captive Insurance:

  • Reduced operating costs and smaller deductibles
  • Investment income to fund losses
  • Incentives for loss control and better claims management

LEVEL FUNDING: PREDICTABLE AND COST-EFFECTIVE

Level-funded health plans allow employers to pay a fixed monthly premium, covering claims, stop-loss coverage, and administrative costs.

Advantages of Level Funding:

  • Pay only for actual claims made by employees
  • Predictable monthly payments and lower risks
  • Exempt from state taxes on premiums

SELF-FUNDING: INCREASED CONTROL AND TRANSPARENCY

Self-funded health plans eliminate the need for a health plan provider, giving employers direct control over benefits.

Advantages of Self-Funding:

  • Visibility into plan performance and vendor transparency
  • More options for plan design and clinical outreach
  • Lower administrative costs and fewer regulations

REFERENCE-BASED PRICING: TRANSPARENT AND COST-EFFECTIVE

Reference-Based Pricing (RBP) plans help employers lower healthcare costs while encouraging employees to make informed decisions.

Advantages of RBP:

  • Transparent pricing and control over reimbursements
  • Stable and well-developed plan structure
  • Growing support across states

Want to Learn More?
Kapnick’s innovative employee healthcare solutions can help you save money and meet your employees’ needs.