Lighting Your Way

Whether the seas are calm or angry, it helps to have a reliable navigational aid – something or someone you can rely on to get you safely where you want to go. We are built and operate to do just that.

How Does Your Specialty Drug Spend Stack Up?

We empower clients by integrating the latest technology and analytics to help control the growing cost of traditional and specialty drugs across the pharmacy and medical benefits.

Know Your Numbers

We’re introducing an innovative update to our popular Performance Scorecard to help you measure and manage what really matters.

Benefit from Our Experience

At the Chelko Consulting Group, we serve our clients’ benefit plan management needs and empower them with the tools and resources to out-manage their competition. We assist medical, life and disability plan managers in becoming high performers and guide them in ways to improve employee health and productivity.

For more than fifteen years, we’ve filled a significant gap in the marketplace – the gap between enormous, market-setting consulting firms and insurance company producers/brokers. The market has responded by its demand for our unique combination of depth, expertise and affordability. We continue to grow and to serve this marketplace by delivering independent, fact-based, validated and practical results at a fraction of the cost of higher-priced firms.

Services

We offer a broad range of services to organizations who want to understand and actively manage the cost drivers within their health, life and disability plans.

Analytics

Numbers don’t lie. We believe in taking a deep dive into data to not only understand, but properly address the real cost drivers within plans.

Strategic Advice

We engage executive stakeholders in the development of strategic direction without expecting them to work through plan design details.

Plan Management

Effective plan management doesn’t begin at enrollment or renewal time. It takes ongoing diligence and continuous process improvement.

Vendor Selection

No matter the reason for conducting a competitive search of the market, we offer an unparalleled ability to identify and secure best-in-class vendor arrangements.

Exchange Evaluation

Confused about private exchanges? We can help. Turn to us for for sound, independent advice.

Dependent Eligibility Audits

Verify the eligibility of individuals covered under your health care plan with a tailored audit that’s respectful of employees.

Total Rewards Statements

Show the full value your company’s benefit offering by providing employees with personalized and easy-to-read statements.

What to Do When You Can’t Attest

Among other things, the Consolidated Appropriations Act (CAA) requires group health plans to attest that they are in compliance with the CAA’s gag clause prohibition. TPAs and PBMs seem ready to attest (or sub-attest). But what’s an employer to do if its plan is not...

To be the Best, Prepare for the Worst

Whether we’re talking stop loss premiums, skyrocketing Rx costs, or even a fictitious avian flu outbreak, the recent Deep Dive Roundtable meeting sent a clear signal regarding the importance of staying vigilant when it comes to plan management. Our seventh such annual...

Reality Check: PBMs Make Commissions for Selling Drugs

Most PBMs would describe their mission as “managing” the cost of drugs and making them more affordable for customers (benefit plans and their members). They like to position themselves as loyal negotiators working on behalf of plans in dealing with drug manufacturers....

Can AI Solve the Problem of Rising Healthcare Costs?

While AI has already exhibited tremendous potential, it’s apparent there is still a way to go. When recently asked how to solve the problem of rising healthcare and pharmaceutical costs, ChatGPT responded right out of the figurative Benefits Manager Playbook.

New Weight Loss Meds: Panacea or Problem?

Are these drugs the long-awaited “magic” pill (or injection) to greatly reduce the prevalence of diabetes, heart disease, musculoskeletal problems, and other serious conditions that tend to follow-along with obesity? Or might they actually lead us in the opposite direction?

“Chelko helps us hold our healthcare vendors accountable and helps deliver results to our bottom line.”

Senior Vice President, Finance & Controller

“The Chelko team is relentless in compliance, innovation and treating our dollars like they were their own. WOW!”

Chief HR Officer

“We are very glad that we used Chelko. We made a much better decision than we would have made otherwise.”

Director of Benefits

“We appreciate the knowledgeable and aggressive stance that Chelko took on the marketing of our program. A big thank you for the excellent job.”

Vice President, Total Rewards

“I am very pleased that we have added the Chelko Group. We feel their knowledge assisted us in the long run in keeping our health plan a strong one — from both the employer’s and the employee’s viewpoints.”

Chief Financial Officer