With providers feeling the squeeze on Medicare and Medicaid reimbursements it is imperative to minimize any cost shifting to employer-sponsored plans. Physician costs can be reduced. Combined with the coding review platforms (ARM™ and ARMOR™) to protect the plan from being overcharged, we help plan sponsors identify ways to:
Make accessing care easy and cost effective to both the member and the plan.
Potentially capture 75% of primary care expenses as a fixed cost.
Engage employee in decision of specialty selection by providing usable information that is specifically based on his/her direct costs (considering their deductible, coinsurance and out of pocket), as well as the outcomes of each provider being considered.
Integrate and manage a comprehensive wellness program; claim costs can be reduced over $1,500 per employee per year with a well managed campaign.
Improve compliance – making sure member takes prescriptions and receives appropriate care.
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Have our experts review your current plan and identify areas of opportunity to reduce your spend.