News
May. 2025
Danzer's Strategic Healthcare Shift: Major Savings & Enhanced Employee Value
Company: Danzer - A global leader in the hardwood industry, committed to sustainability and employee well-being. The Challenge: Unsustainable Costs & Barriers to Care Like many employers, Danzer faced rapidly rising healthcare costs, with their traditional PPO plan proposing a 75% stop-loss premium hike. The High-Deductible Health Plan (HDHP) structure, while seemingly offering savings, created financial barriers for employees, discouraging timely care and risking higher future costs. This conflicted with Danzer's need for budget predictability and their culture of valuing employees. The Sherrill Morgan Solution: Beyond the PPO – A Strategic Overhaul Danzer partnered with Sherrill Morgan to fundamentally redesign their healthcare approach, moving to a self-funded model with a focus on transparency, control, and employee experience: ● Active TPA Partnership: Ensuring proactive plan management aligned with Danzer's needs. ● Reference-Based Pricing (RBP): Establishing fair, transparent payment rates, moving away from opaque PPO "discounts" while maintaining broad provider access. ● All-Copay Plan Design: Crucially, Danzer eliminated deductibles and coinsurance entirely. Employees now only have predictable copays for services, significantly improving access and ease of use. ● Transparent Pharmacy Benefit Management (PBM): Maximizing drug rebates and implementing targeted specialty pharmacy initiatives. ● Strategic Stop-Loss Management: Actively marketing coverage annually to ensure competitive pricing. Game-Changing Results: Cost Control & Enhanced Employee Value The strategic shift yielded powerful, measurable long-term results: ● Over $8.3 Million in Projected Savings (2019-2025): Compared to staying with their previous carrier. ● An Additional $4.12 Million Saved vs. Inflation: Danzer didn't just avoid hikes; they beat typical healthcare inflation. ● Market-Beating Performance: Costs 30% below the Mercer National average and family coverage 20% below the Kaiser Midwest PPO average. ● 22.8% Decrease in Per Employee Per Year (PEPY) Costs: From 2018 to 2025 (projected). ● Improved Employee Experience: The all-copay structure was highly valued, with employees citing it as one of the best plans they'd experienced, thanks to simpler access and predictable costs. ● Targeted Pharmacy Savings: Over $325,000 saved through early 2025 from specialty pharmacy initiatives alone. The Bottom Line: Strategic Benefits Design Delivers Danzer's success demonstrates that employers can break free from escalating healthcare costs. By challenging traditional models and partnering strategically, they achieved significant financial savings while simultaneously enhancing the value and accessibility of benefits for their employees. True cost control and employee satisfaction can go hand-in-hand. Listen to this post on Spotify here Read the full report here -
MSSC Business Case: Transforming Healthcare Benefits
MSSC Business Case: Transforming Healthcare Benefits Introduction: In July 2014, the Municipal School District of Shelby County (MSSC) Trust was formed in Memphis, Tennessee, following the merger of Memphis City Schools and Shelby County Schools. This Trust, comprising four municipal school districts and three cities, aimed to provide superior healthcare benefits to their employees. Challenges: Financial Crisis: Memphis City Schools faced a growing financial crisis due to decreasing funding since 2008. Healthcare Benefits: The newly formed city school systems needed to establish their own benefits structures, meeting the State of Tennessee's requirement for equal or superior benefits compared to the merged district. Solutions Implemented by Sherrill Morgan: Self-Insurance Plan: Provided MSSC greater control over healthcare spending. Stop-Loss Insurance: Managed risk by securing stop-loss insurance, establishing predictable funding projections. TPA/ASO Selection: Managed the plan, paid claims, issued ID cards, and controlled costs using direct contracts. Strategic PBM Selection: Selected a PBM specializing in innovative solutions for government entities, focusing on drug effectiveness. Direct Hospital Negotiations: Controlled costs, improved outcomes, and gained greater savings through direct negotiations with hospitals and local facilities. Innovative Plan Design: Co-Pays Only Plan Design: Eliminated deductibles and coinsurance, providing employees with predictable out-of-pocket expenses and benefiting providers by removing the need for balance billing. Outcomes and Results: Financial Stability: Transitioned from no cash reserves to an expected $22 million in cash reserves by 2025. Cost Reduction: Achieved a 19% reduction in pharmacy spend. Healthcare Cost Control: Maintained year-over-year increases in healthcare costs between 1-3%, significantly lower than the national average of over 10%. Ongoing Improvements: Opened on-site medical clinics, added Reference Based Pricing, negotiated direct contracts, restructured medical plan benefits, and implemented innovative approaches in drug coverage. Conclusion: MSSC's partnership with Sherrill Morgan has led to remarkable financial security and superior healthcare benefits for its employees. This business case highlights the innovative strategies and continuous improvements that have made MSSC a model of effective healthcare management. Read the full business case here -