• Healthcare Supply Chain Management

    Our work will improve your SG&A, converting OpEx to EBITDA and increase your company profits, not carrier 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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Fully Insured vs. Self Insured Analytics

(a) Better negotiate your fully insured renewals

(b) Make available alternative funding options with highly effective risk management tactics to reclaim control of your company’s healthcare spend.

(C) Where are you now?

(d) Where do you want to be?

(e) How soon do you want to get there?

(f) How much disruption are you willing to endure?

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

Pharmacy Benefit Managers

100% Transparent, 100% Pass-Through, Fiduciary PBM's. What is significant about this terminology? Our PBM and specialty programs are designed to provide affordable meds for your employees, which means not only will they have access to the drugs, but they will also be more likely to follow their prescribed doses. We provide employee outreach, a proactive approach, ongoing monitoring and identification of savings opportunities, and prescription advocacy.

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#1 Next Generation DPC

Focus on Superior Individual Healthcare, Preventative and Proactive Medical Management, Better Access Through Technology, Labs & Prescriptions at Significant Savings, Effectively Manage Employee Healthcare, A HealthPlan to Recruit and Retain, and Eliminate Fee for Service Model. Advanced Telemedice Patient Access Terminal Available. Access Terminals can be placed on Site to improve access to care. The terminal is used to provide a virtual visit that includes an actual Physical Exam!

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Our General Contract Provisions

Our Work is Guaranteed to Reduce Your Healthcare Spending or We Do Not Get Paid.
We Perform to a Fiduciary Standard.
We deliver 100% Transparency with the Administrator and PBM.
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 When You Retain Your Broker.
We work with an NDA which includes our BAA. We need your census and at least 12 months of healthcare claims data to begin a Feasibility Study.

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