Octi Value Calculator

The group

Employees on the medical plan

People covered, with families190

Octi fee

Pricing model

Per employee per month

Claims you fund

Medical claims spend per employee a year, average

Improper payments found in claimsMedicare's own audits find 6.55% of payments improper

Share of surplus your carrier returns at renewal

Your renewal

Employer premium per employee a year, average

Does your carrier set your renewal on your own claims?Small groups are usually priced on the carrier's pool, not their own claims. Larger groups are priced partly or fully on their own claims.

Plan designinclude

With a safety net under them, more people choose the higher-deductible option at renewal.

Employees not on an HDHP today

Peopleinclude

Fewer departures, fewer sick days, more focus at work.

Average annual salary per employee

Annual voluntary turnover

Replacement cost, share of salary

Self-funded group

Employer ROI, hard dollars

Each bill Octi handles is cut by

Employer ROI, per year

Your people

Two of Octi's cases

On a fully-insured plan, corrected claims are the carrier's money first. They come back to you as a smaller increase at renewal, to the extent your carrier prices you on your own claims. The lever you control outright is plan design, and the premium difference between plan options is real money, not an estimate.

Level-funded: corrected claims lower next year's funding, and your contract returns a share of what stays in the claims fund. A better claims year can also bring a better stop-loss rate. That is not counted here.

Assumptions and sourcesShow ▾Hide ▴

Sources