Better Care at Lower Costs: How Tiered Networks Make a Difference

According to an article published this quarter by the National Alliance of Healthcare Purchaser Coalitions, the percentage of employers strongly agreeing that rising healthcare costs impact their ability to compete has steadily increased.

But that same National Alliance study offers hope: employers using tiered networks to guide employees toward high-quality, lower-cost providers are twice as likely to see reduced healthcare costs.

At Sympl Benefits, we're putting this insight into action.

How Our Tiered Network Works

Through our SymplCare program, we are incentivizing employees by giving them $0 access to our tiered network. They still have a choice when it comes to which network they use, but they don’t pay a thing if they utilize our tiered network. In addition, employees have access to members of our Simplifier team to help them find high-quality, lower-cost providers.

Our approach combines smart network design with practical employee support:

1. Thoughtful Provider Selection

   • We carefully evaluate providers based on quality metrics and cost efficiency

   • Our network includes physicians and facilities with proven track records

   • Regular monitoring ensures continued excellence

2. Employee Choice with Smart Incentives

   • Employees maintain freedom to choose their providers

   • $0 out-of-pocket costs when using our tiered network

   • No hidden fees or surprise bills

3. SymplCare Support

   • Our Symplifier team guides employees to the right care

   • 24/7 assistance for finding providers

   • Help navigating healthcare decisions

The SymplCare Difference

What sets our program apart is the combination of financial benefits and personal support. Our Symplifier team doesn't just provide a list of in-network providers – they actively help employees:

• Find the right provider for their specific needs

• Schedule appointments

• Understand their benefits

• Navigate the healthcare system

Results That Matter

This approach delivers clear benefits:

For Employees:

• No out-of-pocket costs with tiered network providers

• Access to high-quality care

• Personal support from healthcare experts

• Simple, stress-free experience

For Employers:

• Lower overall health plan costs

• Improved employee satisfaction

• Better health outcomes

• Stronger benefits package

Let's Connect

Want to learn how tiered networks can work for your organization? Connect with us on LinkedIn to see how we're helping employers in Southwest Michigan provide outstanding benefits while controlling costs.

Reference: Data cited from the National Alliance of Healthcare Purchaser Coalitions' Pulse of the Purchaser study, October 29, 2024.