Employer

How MEC reduced plan costs by 12% — without changing networks or cutting employee benefits

Key Results

12%

first-year reduction in total claims PEPM

$116

PEPM saved on plan costs — net of all program costs

47%

of employees enrolled in Garner in year one

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MEC faced a familiar problem: healthcare costs rising with no good options except cutting benefits or shifting costs to employees. By layering Garner on top of their existing plan — with no network changes — they drove a 12% first-year cost reduction and gave their workforce richer benefits at the same time.

Background

Metal Exchange Corporation (MEC) is a large, self-funded metals manufacturer. As a self-insured employer, MEC bears direct financial responsibility for its healthcare claims — making every renewal a high-stakes financial decision for both the company and its employees.

Going into renewal, MEC had been running a wellness incentive program tied to their HRA. It wasn't delivering meaningful results. Meanwhile, healthcare costs were rising with no sustainable path forward — and employee attrition was making it harder to absorb the trade-offs.

The challenge

MEC faced an unsustainable upward trend in healthcare costs, limited options to manage its spend without cost shifting to employees and high levels of employee attrition.

The solution

MEC shifted funds from an underperforming wellness program to Garner toultimately lower total claims spend, deliver a richer benefit offering and providea better member experience.

MEC was able to keep its existing plan design and network with no changes. Garner was simply layered on top. The Garner incentive gave members $1,000 topay for out-of-pocket medical expenses when they engage with Garner and see top-performing in-network doctors.

The results

In year one, 47% of employees signed up for Garner. Of those, 72% received atleast one recommendation for a provider. As members received higher-qualitycare, they experienced better outcomes and lowered their out-of-pocket medicalcosts by 11%. This was a 22% decrease compared to the overall market trend.

The total actual claims PEPM was reduced by 12%, resulting in an annual costreduction of $736K. This saving was generated as a result of members seekinghigher-quality providers, which led to lower costs and better outcomes, as well asoverall cost reductions on medical plans.

The savings was calculated by looking at 2019 claims data to determinethe projected status quo PEPM total cost (claims and HRA funding) for 2021 compared to the actual PEPM spend (claims and HRA funding) that MEC experienced in 2021.

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