ADVANCED
LEVEL FUNDING

HOW DOES ADVANCED LEVEL FUNDING WORK?

Health insurance plans have 3 main components that together create the benefit of HEALTH INSURANCE. With typical community rated and level funded formats, these 3 components are handled by the same company or their subsidiaries.

An advanced level funded approach utilizes separate companies tied together by a Third Party Administrator (TPA) to deliver maximum opportunity for COST & QUALITY control.

advanced level funding

HOW IT WORKS

advanced level funding services

Services

TPA offers provider and client claims, billing, and customer service support. TPA maintains client records, and houses the advanced cost reporting and cost control tools of the health insurance plan.
network advanced level funding

Network

Access to providers (doctors and facilities). Network is “rented” through the TPA. Examples: First Health, Cofinity, PHCS, Cigna

Rx advanced level funding

Rx

Pharmacy services include the behind the scenes pricing of drugs. Utilizing a fiduciary vendor offers the group lower transaction fees and better pricing.

WHY SWITCH TO ADVANCED LEVEL FUNDING?

  • Maximum rebate potential
  • Short and longterm cost control strategies
  • Increased plan value

Here is a testimonial from a Construction Company that switched over to Quandary’s Advanced Level Funding and saved $500k over 3 years:

“Before Quandary Insurance, we thought the best you could do for health insurance was a self-funded plan, and hope there were no major claims. Quandary has provided us with a real strategy that’s delivered long term sustainability and annual plan rebates without diminishing the quality of our benefits. Now we see our benefits as a strategic advantage and no longer as a liability.”
– CFO, Denver based Construction Company

SEE WHAT’S POSSIBLE