Reducing Claims Spend & Workforce Disruption in Self-Funded Health Plans
THE CHALLENGE
Despite offering a comprehensive health plan, employers face:
- Escalating claims costs year-over-year
- A large portion of employees are not utilizing the plan
- Increased urgent care / ER utilization for minor conditions
- Frequent absenteeism is tied to untreated or delayed care
- Limited visibility into preventable claims drivers
💡 Key insight: The highest-cost claims are often avoidable—but access barriers may prevent early intervention.
THE SOLUTION
AHS Health: Direct-to-Physician Access That Bypasses the Plan
Utilizing AHS Health provides:
- No-Fee, 24/7 virtual physician access
- Zero cost prescriptions
- No copays or out-of-pocket costs
- No insurance required
- No claims administration
- Coverage for employees and their families
Positioned as a Front-Door Healthcare Access Layer
- ✓ Designed to divert low-acuity claims away from the health plan
- ✓ Zero disruption to current benefits infrastructure
EXPECTED RESULTS (First 12 Months)
💰 Claims & Cost Impact
- ↓ 14–22% reduction in low-acuity claims
- ↓ ER and urgent care utilization for non-emergent conditions
- ✓ Improved claims predictability and trend control
- ✓ Increased employee satisfaction with healthcare access
💰 Estimated 5–8x ROI driven by:
- Avoided claims
- Reduced productivity loss
- Lower indirect labor costs
WHY IT WORKS
1. Redirects Care Before It Hits the Plan – Preventing Claims
2. Eliminates Financial Friction
No copays = no hesitation to seek care early
3. Creates a New Access Channel
AHS Health becomes the default first step for care, not urgent care or ER
Ready to Control Your Claims Cost?
Discover how AHS Health can redirect care and reduce your plan's claims spend.
Contact Us Today