We Provide Solutions
Here are just some of the ways we’re helping employer groups, large and small, control rising costs and take care of their people.
ANALYZING CLAIMS DATA
Monitoring claims on a daily basis is the only way to uncover billing errors and identify exactly how your healthcare dollars are being spent. After 50+ years of service, we know the numbers never lie.
COORDINATING CARE
When big claims surface, we do everything in our power to obtain quality, appropriate care at a fair price. Depending on the needs of the patient, we pursue other alternatives such as moving the patient to another facility.
FIGHTING PHARMACIDE
Our Pharmasense program keeps hospitals and PBMs from authorizing and dispensing costly specialty drugs without an independent review or submitting a claim for the drug under the medical plan.
TREATING CHRONIC ILLNESS
Providing effective care for chronic conditions requires both a dedicated team and an engaged patient. We consider both our responsibility and have never been afraid or unwilling to challenge the status quo.
MANAGING ELIGIBILITY
By attacking eligibility at the time of enrollment, we identify how much ineligibles are costing your plan and stop the bleeding. Then we monitor benefit elections, dependents, beneficiaries, new hires and terminations going forward.
MAKING WELLNESS WORTHWHILE
From basic online health risk assessments and one-on-one health coaching to custom designed programs and effective communication, there’s a worksite wellness option that’s right for every group.
High-Quality Benefit Plans
Self-Funding offers flexibility, control and the potential for savings. We’ll help determine if it’s the right approach for your organization.
Manage Risk, Control Costs
By identifying health risks, analyzing claims data and managing potential high dollar claims, we save many clients more than 20% annually.
Convenient, Affordable Care
Helping members navigate the healthcare system results in happier employees, quality outcomes and, often, lower paid claims.