Evolutionary Care Management Solutions
Our Innovative Approach
We agree the trend of increasing health-care costs is unacceptable and we're committed to impact every dollar our clients spend on health care. The majority of our client's dollars are spent on variable claim costs, so we treat every dollar as our own by implementing programs that directly impact our client's bottom line.
We recognize the need to proactively manage catastrophic events.We also believe the best way to manage a claim is to prevent the claim from happening. We strive to educate and engage individuals in the components of their overall health. We emphasize disease management, care management, patient advocacy and preventive health.
We want to help every member, not just those with high claims. We are committed to increasing overall health and decreasing claims costs in every appropriate way. We offer a complete package utilizing tools we have developed internally or coordinated through outside vendors. Services available through National Accounts include the following:
- Wellness program
- Prenatal/high risk pregnancy program
- Transplant program
- Disease management (chronic conditions and rare conditions)
- Behavioral health
- Web-based health education tools
- Medical/pharmacy data coordination
- Complementary alternative medicine
- 24-hour nurse-line
- Home health care discount program
- Dependent eligibility audit
Health and Wellness Integration
Many third-party administrators (TPAs) think "integration" just refers to data, but it can be so much more. We don't just integrate data - we integrate knowledge. We do this by first aligning our extensive health and wellness resources where we can make an impact, and then integrating those resources at their core.
Few can match our level of interwoven services, systems, data and personnel that gives you a clear advantage in:
- Earlier identification of health problems
- Member-centric management of health conditions and improvement of health
- Minimizing the financial impact of health risks and conditions
- Simplifying administration
