Six Ways to Lower Rising Health Costs for Companies
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Results at a Glance
Claims-verified savings
Member adoption
4.8/5.0
Member rating
Member rating
Procedures redirected
When a benefits plan gets too complex to use, the fix isn't more tools. It's making the benefits they already have easy to use. Here's how a major state government employer got there, and what it meant for engagement, savings, and member experience over five years.
Benefits value is amplified when employees know where to start.
The CHALLENGE
A familiar public-sector challenge
Serving 94,000+ members statewide, this state government health plan faced a familiar public-sector challenge. Members weren't using their benefits effectively. Most defaulted to high-cost providers without realizing more affordable options existed, which drove up spend and added strain on HR teams.
The plan was missing three things:
• A single place to access every program
• Digital copies of ID cards that members could retrieve on demand
• Real guidance for people facing an upcoming procedure BEFORE decisions and costs were locked in.
The APPROACH
Simplifying access without simplifying coverage
Medefy became the single place for the entire benefits experience. Instead of tracking down the right vendor or point solution, members open a single app to find plan info, digital ID cards, and guidance from Care Guides on where to get the best care at the best price.
Adoption didn't happen by accident. Medefy guided members to lower-cost, high-quality care at the point of decision, and steady, multi-channel engagement kept the plan front of mind. Guided provider selection drove a 7x increase in procedures shifted to lower-cost providers.
When a benefits plan gets too complex to use, the fix isn't more tools. It's making the benefits they already have easy to use. Here's how a major state government employer got there, and what it meant for engagement, savings, and member experience over five years.
Benefits value is amplified when employees know where to start.
The CHALLENGE
A familiar public-sector challenge
Serving 94,000+ members statewide, this state government health plan faced a familiar public-sector challenge. Members weren't using their benefits effectively. Most defaulted to high-cost providers without realizing more affordable options existed, which drove up spend and added strain on HR teams.
The plan was missing three things:
• A single place to access every program
• Digital copies of ID cards that members could retrieve on demand
• Real guidance for people facing an upcoming procedure BEFORE decisions and costs were locked in.
The APPROACH
Simplifying access without simplifying coverage
Medefy became the single place for the entire benefits experience. Instead of tracking down the right vendor or point solution, members open a single app to find plan info, digital ID cards, and guidance from Care Guides on where to get the best care at the best price.
Adoption didn't happen by accident. Medefy guided members to lower-cost, high-quality care at the point of decision, and steady, multi-channel engagement kept the plan front of mind. Guided provider selection drove a 7x increase in procedures shifted to lower-cost providers.
