Financial costs aren't the only challenge in managing an employer-sponsored healthcare program. HR costs, including the time and mental strain on employees who manage these programs, increase as complexity rises.

The Impact of Cost Disparities

By way of example, a recent JAMA Health Forum study analyzed over 13,000 colonoscopy fees, revealing that procedures at hospital outpatient departments cost 55% more than those at ambulatory facilities. This not only leads to higher financial costs but also adds administrative burdens.

Administrative fatigue from surprise bills

Surprise bills from hospitals demand significant administrative attention, contributing to benefits teams' already high levels of fatigue. When your team discovers a benefit that’s unnecessarily draining resources, it needs to be addressed before the next open enrollment—adding hours of evaluation, vetting, and employee communication.

The importance of employee awareness

Employee awareness is another factor. When employees choose more expensive healthcare options due to lack of information, it increases costs. Educating employees about more cost-effective choices, like using ambulatory facilities or alternative screenings, is essential but requires time and resources.

How we tackle the problem

Fijoya helps by reducing both financial and administrative costs. The platform integrates cost-effective screening options and provides employee education, all without requiring additional vetting or contracting from benefits teams. Fijoya streamlines the process, allowing your team to focus on strategic benefits management rather than getting bogged down in administrative tasks.

‍