Six Ways to Lower Rising Health Costs for Companies
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The CHALLENGE
The Florida Department of Management Services oversees benefits for roughly 200K employees under the State Group Insurance Program. Controlling cost was a top priority, and the plan was well designed. Even so, many members defaulted to higher-cost care because they did not know lower-cost options existed.
DMS needed a partner that could reach a population that size, drive real cost-containment within a defined timeline, and back every dollar claimed with the State's own claims data rather than industry estimates. The bar was set at $750K in savings by July 1st, a goal the program would go on to beat months ahead of schedule with Medefy’s help.
The APPROACH
Medefy’s solution went live in February 2026, giving employees, retirees, and dependents one place to see their full benefits picture and act on it, instead of piecing it together across plan documents and provider directories. Behind that platform sits our human-in-the-loop care model: powerful AI technology backed by benefits experts who walk each member through a specific care decision, from the first question to a booked appointment, and guide them toward the lowest-cost, in-network setting, and every savings dollar is measured against DMS's own claims history rather than an industry benchmark.
Broad member communications began in February 2026 and drove 6,878 registrations in just a single month, pushing the program to 14,332 registered members by mid-June. This growth reflects a two-pronged engagement strategy agreed upon by DMS and Medefy: alongside member-facing outreach, Medefy's Customer Success team engages directly at the agency level with the state's top 20 agencies, building one-to-one relationships with HR leaders through onboarding support, ongoing training, and communication toolkits that HR leaders can distribute directly to their employees.

The results
Validated savings reached $2,079,045 from completed referrals, nearly triple the original goal, with another $824,775 in savings moving through the pipeline for a total program impact of $2,903,820. Across 2,681 completed referrals, that's roughly $775 in validated savings per referral led by high-cost, high-volume procedures like colonoscopies, knee and hip replacements, and gallbladder removals, each generating well over $100,000 in savings on their own.
The results to date represent a small fraction of what the program is built to deliver as adoption grows: DMS is projecting total program impact to reach $9.8M by year-end 2026, with upside toward $12.5M.
