What Is Frontier Health?
A DPC and Cash centric program for self-insured employers
What are the features?
Frontier Direct Care (FDC)
- Can handle 80% of lifetime healthcare needs
- 100% transparent pricing on all referrals
- No wait times, no co-pays, no deductibles
- Custom brick and mortar locations
- Dedicated primary care provider (PCP)
Frontier Direct Pay (FDP)
- Can handle 15% of lifetime healthcare needs
- Concierge navigation and negotiation
- Nationwide network
- Direct contracts with specialists & hospitals
- Contracted cancer solutions
- 50% reduction in specialty spend
Frontier Rx
- Easy Prescription Access
- Convenient Medication
- Fast, Reliable Delivery
- Ongoing Support from Your PCP
- Affordable Medications
- 1,000 prescriptions included with Frontier Rx
- Convenient medication handling
Frontier Tech
- Proprietary platform with real time data, ROI reporting, and live dashboards
- Easy to use mobile app for common member needs
- All data tracked and reportable to all parties and vendors in real time
Frontier Insurance
- Powered by Stealth/Amwins with 15% decrease on reinsurance premium
- Frontier shares in risk with employer
- Guarantee on savings up to $5 million
Frontier Admin
- Fully integrated TPA and PBM with live claims reporting
- Full fiduciary and regulatory compliance
- International sourcing and NO rebate games
How is it different?
Frontier shares the risk with the employer. When employers spend more, Frontier loses money.
When employers save money, Frontier makes money. Frontier Health looks and feels the same as the BUCA but yields different results for everyone involved.
(With Frontier Rx)
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How does it work?
By making Frontier Direct Care the front door of your employee’s healthcare experience, it will result in reduced cost, improved outcomes, and enhanced experiences.
Member Journey - Frontier, the front door of healthcare
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Bolt-on journey
Typical MEMBER Journey
- Proactive Outreach by FDC: FDC reaches out via email/voice/text to educate & engage each patient.
- Schedule an Appointment: Patient uses mobile/web-enabled device to schedule and communicate with FDC.
- Continued Education and Engagement: Patient is prompted to submit health information to drive personal health plans and receives continued digital education on how to utilize FDC membership.
- Complete First Appointment: Patient completes first appointment and has an ongoing relationship with their FDC primary care provider.
The results
Increased Access
- Direct access to your primary care provider
- Earlier identification & treatment
- Personalized care plans leading to improved employee health
- Care barriers removed
- Improved Rx adherence
Increased Quality
- Single point of advocacy
- No surprise bills
- 94 NPS score
- Simplify budgeting & cost forecasting with transparent, predictable monthly fees
- Facilitate easier claims processing
Decreased Cost
- Reduce unnecessary ER visits & hospital admissions
- Direct contract with: labs, imaging, ancillary services, specialist, hospitals and cancer care
- Frontier RX = 1000 prescriptions at no member cost
- 50% decrease in specialist spend
How Does It Save Money?
Frontier Health offers a comprehensive approach to reducing healthcare costs for employers through various innovative strategies:
Reduce Unnecessary ER Visits and Hospital Admissions
Proactive primary care through Frontier Direct Care (FDC) prevents costly emergency visits and hospital stays.
Optimize Specialist Referrals
Frontier Direct Pay (FDP) ensures timely, cost-effective specialist care without insurance hassles.
Early Issue Identification
Enhanced primary care access catches health issues early, preventing costly complications.
Predictable Costs
Transparent monthly fees simplify budgeting and cost forecasting.
Streamline Claims Processing
Direct communication channels make claims processing and healthcare management easier.
Relationship Focused
Our primary care providers spend more time getting to know you and developing personalized treatment plans.
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No Copays, No Deductibles
We’re making healthcare simple by removing copays and deductibles, letting providers focus on you instead of paperwork.
Minimize Administrative Burden
Simplified processes reduce complexities and administrative tasks.
The beautiful thing about Frontier is that you can get the care in a way that works best for you. Your provider can see you in person, but you can also do a virtual call or even send a text message. It’s just so easy.”
Sam V.
Frontier Member
I feel important at Frontier because the staff and my provider make me feel like a person, not a number."
Joann B.
Frontier Member
I went to Frontier for a CT scan and I mentioned my vision concerns to my provider who referred me to a specialist. I was then contacted by the Frontier Direct Pay team member who did all the work to find an affordable specialist for me. She was in touch with me to get the information needed for the surgery. They handled it all so I could see better!”
Jorge R.
Frontier Member
We have an older group of employees, so we are always concerned about cancer, heart attack, and stroke. Because Frontier is accessible, our employees can get the care they need before something happens…If you want happier employees, Frontier is one way to make that happen. I would say to all small businesses, you can afford it.”
Scott V.
Local Small Business President & Frontier Member
As an employer sponsored plan, it is important to find partners that are 100% aligned with your same goals. My goals are to reduce costs (for both patient and employer) and also keep people healthy. We want a healthier workforce and satisfied employees. We chose Frontier as our partner for healthcare because they share the same goals.”
Jenna M.
Director of Employee Benefits & Frontier Member
Frontier has been a game changer to the medical industry! Talk about efficiency, no waiting for hours and the staff knows you by name. Great service and care!”
Omar F.
I love my appointments at Frontier. I know if I have any doubts or questions, my provider will explain and explore different options with me, specifically addressing my concerns.”
Sandra E.
Frontier Member
The in-depth care is what makes Frontier the best. They really get to know you. Providers talk to you, educate you, and find the right resources for you. I’m so grateful.”
Debbie,
HR Manager & Frontier Member
Cost Breakdown
25-30% Average Annual Savings
By making Frontier Direct Care the front door of your employee’s healthcare experience, it will result in reduced cost, improved outcomes, and enhanced experiences.
* 5 Year projected savings. Net Savings is subject to change based on accurate data being provided. Visual based on 2,500 Employee Group
What are the features?
- Proprietary platform with real time data, ROI reporting, referral tracking & live dashboards
- Easy to use mobile app and portals for employer, employees, & health plan administrators
- All data is tracked & reportable to all parties & vendors in real-time
- Powerful Data analytics:
- Population health & risk factor analysis
- Utilization reporting
- Patient demographic reporting & eligibility management
- Chronic disease management reporting
- Referral tracking/prior authorization
- Billing reporting
- Customer service ticketing
- Member satisfaction reporting (NPS)
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What Are The Results
- Transparency into cost and performance - everything is available to & nothing is hidden from health plan administrators
- Industry leading patient satisfaction, resulting in a 94 NPS
- Patients engage with their provider & get healthier which drives down overall health plan costs
Typical Patient Journey
- Proactive Outreach by FDC: FDC reaches out via email/voice/text to educate & engage each patient.
- Schedule an Appointment: Patient uses mobile/web-enabled device to schedule & communicate with FDC.
- Continued Education & Engagement: Patient is prompted to submit health information to drive personal health plans & receives continued digital education on how to utilize FDC membership.
- Complete First Appointment: Patient completes first appointment & has an ongoing relationship with their FDC provider.
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case studies
Renewed Faith
Debbie came to Frontier while battling chronic health issues and growing skepticism towards doctors. Discover how Frontier not only helped her manage her health conditions but also restored her faith in healthcare providers. Read her story to see the remarkable transformation.
Responsive Care
Yesenia is a busy working mom. She and her husband, Adrian, are rais-
ing three children. When an accident at daycare resulted in a gash in herthree year old’s forehead, Yesenia’s first thought was to take her son to
the ER.
Take the next step to a better health plan
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