SERVICES OVERVIEW

We provide services to lower the overall cost of employer-sponsored health plans using proven methods applicable to medical, dental, behavioral health and vision benefits. Our collective knowledge base of health care expertise coupled with data analytical tools is applied to untangle complex issues impacting outcomes in clinical, financial and legal arenas.
  • We provide a comprehensive plan overview, comparing rates and risk scores with regional benchmarked data.

  • We negotiate with insurers and providers to achieve the most favorable contracts possible.

  • We offer full actuarial services to design and implement self-funded plans.

  • We provide proven strategies to work with Disease Management, Care Management and other proactive services.

  • Our PBM experts can perform a meaningful Pharmacy Benefits Audit and design as it pertains to utility and preferences of the beneficiaries.

  • Flex-Plan/Health Reimbursement Arrangements (HRA) – For those firms eligible, we can help you take advantage of the opportunities capitalizing on this favorable ruling.

  • We provide user-friendly comparative ratings information on providers, insurers and any third party organization.


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