Improve Health & Reduce Costs
At Lockton, we’ve intentionally “layered” our platform for self-funded clients through the following steps
Lockton's commitment to clients extends beyond benefits consulting into care management pathways with world-class health systems.
We are proud to be recognized by Dana-Farber, Cleveland Clinic, and Mayo Clinic as the only broker/consultant to have entered into these clinical partnership pathways. To learn more, click here
- Starting in 2010, we centralized all stop-loss and reinsurance placement through a dedicated unit within Lockton
- We then integrated our Complex Claims team with the stop loss group so that we could cast a wide net for data
- Listening to the data and leveraging technology, we’ve moved beyond alerts like the “50% trigger” to over 5,900 clinical and financial triggers to engage with the Complex Claims team
- Today, that group represents over 1,200 employers, $1.2B in premium managed and has performed more than 20,000 clinical reviews
- Employees with cancer including rare and complex cancers will get the right diagnoses and treatment options through Dana-Farber Cancer Institute.
- We’re also partnering with Cleveland Clinic and Mayo Clinic for other non-cancer related diagnoses and we expect these deep partnerships to grow.
Lockton's commitment to clients extends beyond benefits consulting into care management pathways with world-class health systems.
We are proud to be recognized by Dana-Farber, Cleveland Clinic, and Mayo Clinic as the only broker/consultant to have entered into these clinical partnership pathways. To learn more, click here
Modern Tools to Better Manage Self-Funding
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Clinical Claims Team
Lockton has taken the initiative to help clients manage their employees’ population of high-cost claimants, thereby reducing budget volatility within their medical and pharmacy plans. Lockton works alongside clients’ administrative partners to identify opportunities to achieve savings for clients while also improving the care delivery experience for clients’ medical plan participants. Lockton’s Clinical Consulting team features a diverse group of experts with a variety of backgrounds and expertise including nursing, case management, emergency medicine and mental health. The team also has a dedicated medical director to consult on complex cases. This expertise is coupled with a suite of tools and resources that empower the Clinical Consulting team to identify cost containment opportunities and capture any potential savings. Clinical Claims Team Overview 
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Centers of Distinction (Cleveland Clinic, Dana-Farber & Mayo Clinic)
Lockton has established streamlined direct referral relationships with some of the country's top institutions to facilitate reviews of cases where members appear to be having difficulty getting the right diagnoses and/or best-fit treatment recommendations. The Lockton complex claims team identified an opportunity to reduce excess cost and improve outcomes in highly complex clinical situations by opening access to world class subspecialists in niche areas to members in need on our clients’ health plans. By establishing a Lockton-wide program, we can make this opportunity available to clients across our book of business regardless of size and eliminate the need for client-specific contracts and processes. The result is a reduction in diagnostic delays and the elimination of unnecessary testing and ineffective therapies. Centers of Distinction Overview 
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Cost Containment Success Stories 2023
Lockton strongly believes that helping to coordinate and align the patient, the administrator and the provider will continue to result in cost containment opportunities for clients, helping them manage their benefit spend more effectively.
We believe in TRANSPARENCY and understand the value of the public trust and the importance of looking out for those we serve. We hold ourselves accountable to our clients and stand by our commitment to service. We work diligently to provide solutions and cost saving opportunities for our clients.
As the largest privately owned insurance consulting firm in the world, we are not responsible to shareholders. Instead, we are focused on our stakeholders; our Associates, Clients and, the Communities in which we live.
We believe in TRANSPARENCY and understand the value of the public trust and the importance of looking out for those we serve. We hold ourselves accountable to our clients and stand by our commitment to service. We work diligently to provide solutions and cost saving opportunities for our clients.
As the largest privately owned insurance consulting firm in the world, we are not responsible to shareholders. Instead, we are focused on our stakeholders; our Associates, Clients and, the Communities in which we live.
Case Study
The young woman quoted above was very ill. She suffered from multiple conditions including severe anemia, heart failure and was approaching end stage renal disease. She was on disability, seeing multiple specialists and receiving care weekly for her multiple conditions . She was hospitalized nearly once per month due to the severe anemia. Total annual charges for her medical and pharmacy claims were averaging over $1,000,000.
Her employer hired Lockton as the advisor to their self-funded health plan. Lockton’s Clinical Team identified the opportunity for specialist evaluation and care coordination at Mayo Clinic - Jacksonville through our Complex Care Program. Our Case Manager introduced the program to the member and facilitated her enrollment. During the initial treatment, Mayo Clinic identified the root cause of her anemia and was able to successfully treat her.
Due to their treatment at the Mayo Clinic and the care coordination with Lockton's Clinical Team, she has returned to work part-time, her admissions have been greatly reduced and her claims have decreased. Her return to work has also created a sense of normalcy. Her annual treatments are now tracking $820,000 less per year following Mayo Clinic’s treatment and Lockton coordination.
Her employer hired Lockton as the advisor to their self-funded health plan. Lockton’s Clinical Team identified the opportunity for specialist evaluation and care coordination at Mayo Clinic - Jacksonville through our Complex Care Program. Our Case Manager introduced the program to the member and facilitated her enrollment. During the initial treatment, Mayo Clinic identified the root cause of her anemia and was able to successfully treat her.
Due to their treatment at the Mayo Clinic and the care coordination with Lockton's Clinical Team, she has returned to work part-time, her admissions have been greatly reduced and her claims have decreased. Her return to work has also created a sense of normalcy. Her annual treatments are now tracking $820,000 less per year following Mayo Clinic’s treatment and Lockton coordination.