Medical ASO Optimization
for a Mid-Market Employer

The Challenge

The client was experiencing year-over-year increases in medical spend with little insight into what was driving costs. Claims data was fragmented, vendor accountability was unclear, and employees struggled to understand how to use their benefits effectively. Leadership needed cost control without sacrificing quality of care.

The Solution

We implemented a customized Medical ASO strategy focused on transparency, data-driven decision-making, and proactive cost management. This included:

  • Claims and utilization analysis
  • Vendor performance audits
  • Plan design optimization
  • Employee education and support
  • Ongoing reconciliation and reporting

The Results

  • 22% reduction in overall medical claims costs within the first 12 months
  • $1.8M in total savings identified and realized
  • 95% claims accuracy rate through automated reconciliation
  • 30% increase in employee benefits engagement
  • Improved predictability in monthly healthcare spend

Key Takeaway

By pairing Medical ASO with real-time data, active oversight, and employee-focused support, the client gained control over healthcare costs while improving the overall benefits experience.

Client Profile

Industry
Manufacturing
Employees
1,200
Plan Type
Medical ASO (Self-Funded)

Key Results

22%
reduction in medical claims costs
$1.8M
in total savings realized
95%
claims accuracy rate
30%
increase in employee benefits engagement

Related Case Studies