A health plan with more of what you want and less of what you don’t.
Engagement contributes to improved health outcomes
Evidence shows that being actively engaged in your health care can lead to better health outcomes.1 How we receive, interpret, and act on health information is a big piece of this. At Surest, we do our part by giving members the tools to better understand their costs and coverage options. Members don’t just enroll in their plan and then forget about it. A majority of our members use the app as it was intended to be used — to search, compare cost and care options, and then make informed decisions.
Our members are actively engaged with the plan.
With the Surest plan, engagement not only means using the app before making an appointment, it’s also meaningful interactions and a smooth-running, streamlined experience. We leverage data to ensure members receive timely, personal, and relevant information throughout the plan year.2
Engagement is one part of the story.
Another part is our innovative no-deductible plan design. When members understand that they can search for cost and care options in advance — without a deductible getting in the way — they’re less likely to skip care or prescriptions, and more likely to be proactive about their health.
Our members say yes to preventive services.
Higher engagement with the health plan has also led our members to a higher rate of preventive checkups. During these checkups, doctors can help detect potential problems early, when they’re easier (and less costly) to treat.3
A win-win: Employees and employers can save money.
An employer’s health plan needs to curb rising health care costs without trimming the benefit or shifting costs onto employees – this may help recruit and retain top talent. The Surest plan was designed to provide upfront cost and coverage information, not cut benefits to save on cost.
When members check prices before seeking or scheduling care — with lower copays assigned to providers evaluated as higher-value — they have the power of information to make their own decisions – and potentially save money. By designing a benefit plan that aligns cost and value, and allowing members an easy way to see their options, Surest is working to provide value to employees and employers.
More money in employees’ pockets.
Members had 54% lower out-of-pocket costs.4
Savings opportunities for employers — without shifting expenses.
- Employers saved up to 15%.5
- Year-over-year medical trend was less than 5% sustained across 3 years.6
- 11% lower total cost per member, per month.7
The high-value care connection.
Members can check and compare prices and options in advance of seeking care, with lower prices indicating providers evaluated as higher-value. Our proprietary pricing model requires a shift in how we think about value; it factors in improved outcomes/effectiveness, lower likelihood of surgery complications, efficient use of resources, service costs, and more.
Fewer than 8 out of 100 members used the least-efficient providers.8
Members shifted from hospital-based surgeries to cost-efficient ambulatory surgical centers (ASC).
- There was a 5% reduction in overall surgeries.9
- 16% less inpatient surgeries10
- 3% less outpatient surgeries10
- 9% increase in ASC surgeries10
When comparing Surest costs to risk-adjusted benchmarks, the cost per surgery is 15% less on the Surest plan at the inpatient setting, 14% less at outpatient hospitals, and 43% less at ASCs.11
And because members knew their options in advance and chose providers evaluated as high-value, results showed:
- 13% fewer inpatient hospital admissions12
- A drop in emergency room use at 6% lower, and a 6% increase in urgent care utilization13
- 4% fewer outpatient surgeries, resulting in 22% lower costs per surgery12
- 20% more physician visits, with 92% of members selecting high-efficiency providers12
- 7% more physical therapy visits12
- 7 times higher virtual visits14
Members have a positive experience. They like the plan.
Offer a health benefit that prioritizes choice, flexibility, the potential to save, and employee well-being, all while helping control the bottom line.15
“I didn’t think it was possible to love your insurance, but Surest changed that.”
- Hannah B., Surest member
Some of our clients
See more client and member success stories
1Centers for Disease Control and Prevention, “Health literacy and patient engagement.” August 2021. 2Surest 2022 book of business results. 22_V04, 133_V03, 163_V02. 3Comparison of members identified as having 12 months enrollment in a UHC plan in 2021, and 12 months enrollment in a Surest plan in 2022. 167_V01. 4Comparison of 2022 medical out-of-pocket spend for members who migrated to a Surest plan in 2022 compared to members from the same employers in a non-Surest plan. 141_V04. 5Combination of modeled and actual results across Surest prospects and clients; independently developed benchmark based on a database containing health care claims from 80 million U.S. lives risk-adjusted for demographics, geography, and disease burden. 13_V02. 6Surest book of business 2019 – 2022 (medical only). 159_V02. 7Surest 2022 book of business plan sponsors with both medical and pharmacy data within our warehouse; industry 2022 commercial benchmarks and risk adjustment methodology. Risk adjusted for demographics, geography, and disease burden. 56_V04. 82022 Surest book of business. Surest Proprietary provider ranking and subsequent member choice. 171_V01. 9Surest 2022 book of business; Independently developed 2022 benchmark based on a database containing healthcare claims from 80 million U.S. lives risk adjusted for demographics, geography, and disease burden. 66_V03. 10Service mix difference-in-difference estimate among surgeries for individuals who migrated to Surest in 2022 compared to a matched control group of individuals in a non-Surest plan. 166_V01. 11Surest 2022 book of business plan sponsors with both medical and pharmacy data within our warehouse; industry 2022 commercial benchmarks and risk adjustment methodology. Risk adjusted for demographics, geography, and disease burden. 67_V03. 12Surest 2022 book of business plan sponsors with both medical and pharmacy data within our warehouse; industry 2022 commercial benchmarks and risk adjustment methodology. Risk adjusted for demographics, geography, and disease burden. 168_V01, 66_V03, 169_V01, 71_V03, 67_V03. 13Comparison of members identified as having 12 months of enrollment in a UHC plan in 2021, and 12 months of enrollment in a Surest plan in 2022. 170_V01 14Surest Doctor On Demand (DoD) 2022 utilization compared to 2022 DoD book of business. 46_V04 152022 Surest book of business. 131_V03, 125_V03.