The U.S. Supreme Court recently made a significant decision that will impact the structuring of buy-sell agreements for closely held companies. If you’re not familiar with such agreements, they are commonly used by business owners to ensure that, when one owner dies, their interest will be sold to the other…
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Problem A large health system with 1,200 employees was an existing Oswald client. Like many businesses, they began to see costs rise in their traditional employee benefits health plan. Double-digit stop loss increases Significant high-cost claim activity Higher overall cost of care In addition, the employer struggled with employee retention…
Read MoreProblem A large, global manufacturer had been working with a broker who did not monitor the company’s ongoing risk. The client was led to believe the health insurance plan would have a modest cost increase of 5% at renewal, when in fact, it turned out to be 27% when all…
Read MoreProblem A public sector client was not happy with its existing wellness partner, so Oswald was hired to create a better program that would encourage wellness across the organization. Their goal was to create awareness and engagement around wellness, both physically and emotionally. Solution Oswald took a deep dive into the…
Read MoreProblem Our Ohio-headquartered client with a workforce primarily located in North Carolina acquired a company based in Texas. The employees at the North Carolina location were provided a low-benefit, minimum essential coverage medical plan. However, the Texas location offered more traditional medical plans and generous ancillary benefits. Our client hoped…
Read MoreProblem An Oswald client faced the challenge of identifying the source of their skyrocketing medical costs. At the same time, they experienced extremely high medical benefit drug charges due to the network paying a percentage of charges that the outpatient facility determines. Solution Our analytics advisors and service team worked…
Read MoreProblem A commercial real estate company had an incentive-based program that rewarded employees for going to their physician, being tobacco-free, and providing choices to learn and participate in mutually essential activities. The company highly valued preventive screening and early detection, and they wanted to provide additional resources for employees when…
Read MoreProblem: Egregious mark ups on Medical Specialty Drugs, aka J-codes/white bagging An existing client, a large nonprofit with 6,000 employees, was faced with an unusually high renewal proposal due to a very high-cost medical specialty drug. They had an employee with a chronic condition who had been receiving this expensive…
Read MoreSituation A Midwest private equity firm with 10 portfolio companies was in a fully insured, pooled benefits program that Oswald built with BlueCross BlueShield. While each company could design its own health insurance plan, claims risk was spread over the volume of the pooled population. Although pooled programs are still…
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