Engagement/Communications Platform
Our unique Engagement/Communications Platform provides the foundation of the Health Claims Management concept:
- It replaces a traditional Wellness platform, while adding additional functionality.
- We integrate The Platform with any data analytics tool creating our Health Risk Management product. Using Medical and Rx Claims as our primary data source we identify health risks, create an action plan and measure results.
- Any Cost Containment program can be housed in the platform
- A single location for employees to see how they benefit financially from these programs.
- Improve engagement in Cost Containment Products and Health Risk Management programs by:
Ο Increased employee health claims literacy
Ο A unified incentive concept
Ο Secure outreach to individual or specific groups of employees
Cost Containment
With dozens of point solutions and hundreds of vendors in this space it can be intimidating for Benefit Advisors and employers to select the right product for their claim’s payor (TPA or Insurance Carrier) and stop loss carrier. We help in several ways:
- Our Engagement /Communications Portal will accept any product offered through the Benefit Advisor or Claims Payor
- Use our fully integrated product with our TPA, stop loss carrier, and Cost Containment Products
- Use our fully vetted cost containment products and we will provide a feasibility study to identify verifiable cost savings
Health Risk Management
Our Health Risk Management Program which combines wellness, disease management, and early detection programs, is designed to identify, manage, and measure specific health risks that can drive claim costs:
- Fully integrated with out Engagement / Communications Platform
- Claims information is the primary data source. We obtain the claims data through integration with ANY data analytics tool
- We measure success by using the data analytics tool to measure improvements in gaps in care and the reduction of risk scores.