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Claims Analysis

You cannot properly plan on where you are going to go in the future with your medical, dental and disability plans until you know where you have been and what are the main cost drivers!

We have developed a sophisticated data mining tool that is internet accessabile. We regularly help our self-funded clients make important benefits buying decisions, change contribution strategies and craft important employee benefits communications--based upon the interpretation of reports we can help them generate. Some of those reports are listed below:

•  Analyze your Data

•  Shock Claim Summary

•  Prescription Drug Analysis

•  Preventable Conditions

•  Medical Cost Distribution

•  By Category

•  By Diagnosis

 

Note: More reports available

•  Modifiable Claims Analysis

•  Primary Issues with greatest impact on Plan Costs:

•  Rx cost and quality management

•  Increased Utilization

•  Shock Claims

•  Rich Plan Design

•  Aging workforce

 

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