Behind every benefits plan is a person, someone managing a diagnosis, navigating a complex medication, or simply trying to stay healthy. How well that person is supported has a direct impact on their life and their employer’s bottom line. That’s why BSI invested in our Health Solutions Practice (HSP): a dedicated resource built to ensure our clients receive the best possible service and outreach — and to make a real, lasting difference in the lives of their employees and their bottom line.
More Than a Program. A Personal Advocate.
Think about what it means to an employee navigating a serious health situation, a new diagnosis, a complex and expensive medication, an overwhelming system, to know that a dedicated expert is in their corner. Someone who understands their care, fights for their best options, and helps them access what they need. That kind of support isn’t just valuable. It’s life-changing. That’s exactly what BSI’s HSP delivers.
The Right People. The Right Intelligence. The Right Results.
Great healthcare outcomes don’t happen by accident; they happen when the right expertise meets the right information at the right time. BSI built HSP around exactly that intersection.
It starts with people who genuinely care. Our team of skilled clinicians, pharmacists, and contracting specialists doesn’t sit behind a desk waiting for problems to land on their desks. They’re actively engaged, working alongside members, carriers, and providers, asking hard questions, cutting through complexity, and advocating fiercely for the people who need it most.
It’s powered by intelligence that stays ahead of the curve. BSI’s proprietary data analytics platform continuously monitors high-cost claims (over $10,000) and flags high-risk members (risk score ≥9) every single month. That means potential issues are identified early, before costs escalate and a manageable situation becomes unmanageable or even catastrophic.
And it’s guided by a process that brings everyone to the same table. Employers, carriers, providers, and members are aligned around a single strategy, working toward a common goal: better care, smarter spending, and outcomes that actually move the needle.
The ROI of Doing the Right Thing
The numbers behind smart health investment continue to get more compelling. RAND research finds that 95% of employers who measure wellness ROI report positive returns, with results ranging from $1.50 to $6 for every dollar spent, depending on program design. And consistently leading the pack? Disease management programs, exactly the kind of targeted, high-touch intervention that BSI’s HSP is built around.
That’s the distinction worth noting: not all health spending is created equal. Broad wellness programs can move the needle, but it’s the focused, clinically-driven work — identifying high-risk members early, managing complex conditions, and navigating specialty care — where the real value is created. That’s where BSI plays, and that’s where our clients see the difference.
Clients who benefit from BSI’s HSP see:
- Lower overall healthcare spend
- Increased engagement in disease and care management
- Improved member health outcomes
- Higher member satisfaction
Case Study: Specialty Drug Management Saves Nearly $250,000
1,500-life employer | 7 states
BSI’s proprietary analytics platform identified a member who had received a kidney transplant and was approved for a 12-month supply of Eculizumab, a specialty medication used to treat atypical hemolytic uremic syndrome (aHUS), a rare immune disorder that causes dangerous blood clots. Without intervention, the cost exposure was significant.
BSI’s HSP team and contracting experts stepped in, and negotiated a dramatically better outcome. They not only negotiated a better cost, but also paired the member with a program that allowed them to access the medication at a fraction of the negotiated cost:
| Cost Per Prescription | |
| Initial PBM Cost | $54,184 |
| BSI Negotiated Cost | $33,935 |
| Estimated Annual Savings | $242,988 |
Behind that number is a real person who received the care they needed, and an employer whose plan absorbed far less than it would have without BSI in their corner.
The BSI Difference
BSI’s Health Solutions Practice isn’t an add-on, it’s part of what it means to be a BSI client. We invested in this resource because we believe our clients deserve more than a benefits administrator. They deserve a partner who shows up for their employees when it matters most.
That’s the BSI difference.
BSI — Building Better Benefits Through Smarter Health Solutions