Understanding what fuels your health plan costs is fundamental to identifying opportunities for immediate and long-term savings. Claims and utilization reports provide a big-picture summary of plan performance and member utilization patterns. Our analysis digs deeper and uncovers what’s driving wasteful spending and inefficient health care consumption. With that degree of understanding, we can develop an actionable response that creates positive change.
Our data analytics team uses state-of-the art technology to examine your plan data under different lenses such as network discounts, utilization of quality, cost-efficient service providers, drug spend, gaps in care, emergency room and urgent care analysis, chronic kidney disease and ESRD analysis, most effective sites of care and more.
Coverage limits
Claims & funding projections
Claims
IBNR valuations
COBRA rate calculations
Monthly reporting
Quarterly reviews
Reserve analysis
Stop-loss review
Industry and geographic peers
Plan design
Claims experience
Contribution costs
Overall cost
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