Cost Containment
Frequently Asked Questions

We provide layered cost-containment strategies that address high-cost claims, specialty drugs, and unnecessary utilization—while improving the member experience. Our solutions help deliver measurable savings without shifting costs to employees.

Our vetted solutions are designed to integrate alongside most major carriers and TPAs. We work collaboratively to enhance existing plan structures—not replace them.

You remain the strategic advisor. Benecon supports you with implementation, reporting, and client-facing materials while keeping you at the center of the relationship.

We provide transparent reporting that tracks:

• Claims savings
• Cost avoidance
• Member engagement
• Utilization shifts
• ROI metrics

In many cases, yes. Several solutions can be implemented quickly to begin impacting high-cost claims immediately.

Some solutions (such as high-cost claim intervention) can generate savings immediately. Others produce measurable impact within the first plan year.

We combine data-driven intervention with human advocacy. That means we don’t just identify savings opportunities—we guide employees through better decisions that can lower their costs and improve outcomes.

Registered nurses are not able to diagnose a condition. Once you have received a diagnosis from your physician, a Nurse Navigator will work with you to address any questions or concerns you may have regarding your diagnosis and/or treatment options.

Prescribing medications is not within a registered nurse’s scope of practice. Visit your primary care physician or utilize a telemedicine provider if prescription refills are needed.

To work with a Nurse Navigator, you need to have a diagnosis from a physician.

We are not able to provide assistance for workers’ compensation claims or any other medical case that may be pending litigation.

Registered nurses are not able to interpret test results or diagnose a condition. Our Nurse Navigators can research second opinion physician options with specific clinical expertise who can help to clarify a diagnosis if needed.

We have found that connecting with our patients telephonically and/or electronically is the most effective and convenient means of communication, not only for our patients but also for our staff. Our services are available to plan members across the United States, making it necessary for us to rely on telephone and electronic communication to establish and maintain meaningful connections with patients.

We are a highly personalized service and we understand that your schedule may not allow the time to connect during the work day. Our patient advocates will always ask when the best time of day is for you to speak with our team, and we do our best to accommodate each and every patient’s need.