• "Cost Modeling"

    A strategic actuarial consulting firm dedicated to helping CEOs increase company profits. Read More
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Advanced Benefit Design Institute

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The New Standard in Benefit Consulting

Employers need advanced analytics to identify their root causes in increasing healthcare costs. Our software platforms accurately identify all of the cost drivers throughout your covered membership. We truly reduce the frequency and size of claims.

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Consulting Services Include:

Our consulting abilities are built on a robust Healthcare claims database. The database represents medical and pharmacy claims data of more than $100 billion in charges, on more than 10 million commericial, nationwide member lives.

- Simulate expected changes and calculate precise claim rates

- Identify a risk appropriate self-funded structure

- Set optimal budget rates and model of forecasted enrollment

- Significant reporting capabilities on demand

Self Insured Plans Inherently Do Not Reduce Claim Costs

There’s the fact, for example, that self-insured health plans, in the main, control costs no better than fully insured health plans. Most of us, industry insiders included, have simply assumed that the opposite is true. On the face of it, self-insured plans have every advantage, an argument health benefit consultant enthusiastically embrace when urging their employer clients to move to self-funding. Plan sponsors can avoid the costs of state-mandated benefits. They can define their benefit designs and, to a large extent, designate which providers their enrollees will use, and which vendors will manage complex processes.

Healthcare Claims Data Drives Decisions

Problem solving at the root cause. Custom Crafted Benefits promoting your culture. Effective incentive development to change behavior and drive steerage.

The answers to where your money is going will anger you. If we are going to have a serious debate about healthcare cost, you need to understand current healthcare delivery and partner with us to implement effective processes that reduce the frequency and size of your healthcare utilization.

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Fiduciary & Specialty PBMs

 

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Direct Primary Care

 

Our General Contract Provisions
Our Work is Guaranteed to Reduce Your Healthcare Spending or We Do Not Get Paid.
We deliver 100% Transparency and Perform to a Fiduciary Standard.
Our Feasibility Fee is 100% Refunded If We Cannot Save You 100% of Our Fee.
We Get Paid 25% of What We Save Your Plan If You Retain Your Broker.
We work with an NDA.

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