Strategy
• Clarity • Simplicity • Readability • Communication
• Enrollment Campaigns • HR Policies/Procedures • Plan Rollout • Wellness Campaigns
Education Approach
Compliance
• Summary Plan Descriptions • Summary of Benefits and Coverage • Summary of Material Modifications • Readability Analysis • Compliance Analysis
• Benefits • Regulatory Compliance • Industry Standards • Writing Style/Tone
Expertise
• Newsletters/ Flyers • Webcasts • Benefits Acquisition Guide • Videos
Engagement Modes
• Graphic Design • Vendor Coordination & Management • Fulfillment Production & Distribution • Coordination Management
Production
Engagement
Review Workflow
Results
Annual Updates
Implementation
Goals
SOlutions
About Our People
Difference
Comprehensive Compliance and Communication Solution
Configurable
Plan Data
Role-Based Security
Compliance Writing
Central Repository
• Benefits • Compliance • Human Resources • Legal • Procurement
Employer Systems & Stakeholders
Document Generation
Benefits Supplier Management
Benefits Governance
SBCs
SPDs
ACA Reporting
Workflow
Procurement
Data Management
Contracts
Performance
Global Data
Optimize
Optimize processes and terminology for accuracy, consistency and benefits recognition
Control
Quality control of content, costs and maximizing productivity
Engage
Promote benefits available to employees
Comply
Ensure documents are compliant, consistent and timely
Graphic design & production management
Year-round benefit branding & communication strategy
New hire onboarding communications
What Are Your COmpliance Goals?
Carefully monitor new legislation as well as court cases and keep you up-to-date
Trusted advisor not only to clients but also to federal agencies
SPDs and compliance communications is our focus – and our passion
Superior thought leadership and domain expertise
Advice
Experience
Leaders
DirectPath understands the needs of compliance communications better than anyone.
about our People
- consistent language and updates - saves time and energy - less human error across multiple documents
Save Changes
Benefits for pregnancy are covered the same as any other condition, sickness or injury. This includes all maternity-related medical services for prenatal care, postnatal care, delivery and any related complications.
Maternity Services
SPD
SBC
Enrollment Guide
- inconsistent language time-consuming review and editing process - more room for human error
See The Process
Rewards Incentive Program
20% of the savings between the high and low cost providers, up to $1,000
Measurable Outcome DirectPath has found that when employees make a decision about where to go for a health care test or procedure, that: • 57% choose the low-cost provider • 25% choose the middle-cost provider • 18% choose the high-cost provider
$1,400 / $400
Employer / Employee average savings per Cost & Quality service request
Make your decision
Submit form to receive Reward (if applicable)
Step 3
Step 2
Step 1
Advocates work with employees to:
Educate employees about their options
Explain impact (savings) for member choices
Compare cost and quality between providers
or
Call an Advocate
Send email request
Fill out online form
Physician and Hospital quality data comes from Centers for Medicare & Medicaid Services (CMS) databases
Pricing information comes from a variety of sources which include: - Claims data - Network relationship - Call providers directly
2
1
6
5
4
3
Report
Process
Transparency Report
Documents are complete and process is done
Out of compliance
Start the whole process over
Inconsistent language
Approved language across multiple documents
Up to date with all regulations, on-time
One source of truth
Multiple points of contact
What's Next
VS
DirectPath Process
Typical Process
and
DirectPath Difference
Click Here
Trovato Human Resources Thank You For Scheduling! Please review your benefits...
Trovato Human Resources Don't Forget! Schedule Your... Our records indicate that you...
Trovato Human Resources Prepare for Your Benefits App... Click here to see a web copy of...
DirectPath will create a template which contains all of the possible language for a subset of SPDs. Using a template allows us to manage all SPD content in one place.
An SPD project begins with a thorough analysis of your current SPDs. A comparison report is produced to display the results of the analysis.
SPD Analysis
Publish SPDs
Plan Data & Reporting
SPD Storage & Access
Managing Reviews
SPD Creation
Templates
Client
DirectPath
Responsibility
Compliance & Readability
Dashboard - SPD Panels
Making Edits
SPD Storage
Document Design & SPD Section Library
Content Library
DirectPath Step-by-Step - Implementation
Updates for Plan/Regulatory Changes
Insight to SPD Status
DirectPath Step-by-Step - Annual Updates
Document Reviewed
Reviewer Identified
Review Cycle Initiated by Workflow Owner
Redlined Document Submitted
Workflow Owner Reviews Redline(s)
Additional Review Needed
Document Review Workflow
Summary Plan Descriptions
See A Case Study
Cut annual consulting fees by 30% (more than $3M)
Completed on time; up-to-date with most recent regulations
Administrative Cost Containment
Customer Quotes
Real Client Results
Effectiveness
Updated 300 SPDs in less than 6 months, with SPDs available to employees in time for Annual Enrollment
“[DirectPath’s] knowledgeable team provided guidance to keep us on track to document plans and meet compliance standards. They’re wonderful to work with always – responsive, proactive and flexible.”
“[DirectPath] has decreased my team’s time to produce quality and compliant health and welfare Summary Plan Descriptions and created a centralized repository for the updated documents.”
Additional Compliance
Typical
- inconsistent language - time-consuming review and editing process - more room for human error
Writing Services
SPD Process
About Our Team
Easy to follow, consistent messaging that you can trust
Changes are made to one source for all documents (one source of truth)
Content sections are automatically updated among all SPDs and SBCs
Document created with consistent, easy to ready content
Hold / TBD
DirectPath Step-by-Step
Language Process
