Our Advantage
Subject
Matter
Experts
Founded 2011
specialized focus
Nimble and boutique describes the personalized care and consulting that set's Corporate Healthcare Financing apart from big consulting houses.
Powerful knowledge, propriety technology and reinsurance buying power provides significant financial outcomes for our groups with greater healthcare cost controls, lower premiums and trend beating renewals.
We understand the importance of a rich and well balanced company benefit offering that drives recruitment, retention and employee satisfaction.
- Cash flow protections against large claims.
- Highly predictable renewals year after year.
- Keep 100% of the “Unspent” claims aggregate funding.
- Create financial surpluses to lower contributions, pay large claims or as a “Rainy Day” fund.
- Design PPO healthcare plans that best meet your workforce needs.
- Streamline greater access to high-performing healthcare networks.
- Experience unparalleled medical discounts.
- Attract, retain and expand your most valuable asset…your employees with greater satisfaction in company healthcare benefits.
- Access to the most cost effective administrators in the industry.
- Flexible and integrated in-house administration services.
- High level Utilization Management.
- Detailed Case Nurse Management.
- Maternity Care Management.
- Disease, Health & Wellness Management
- Powerful reporting and data analytics.
- Real impact on tobacco cessation.
- Personal biometeric screenings.
- 30+ years of securing A+ rated stop loss protection with direct carriers, MGU’s and wholesalers.
- Over $350 MM in stop loss premiums since 2011.
- Directly access with senior level underwriters.
- Unequaled knowledge and results in mitigating and managing medical & pharmacy risk.
Healther
Results
- Pass thru PBM partners with a flat script fee.
- Drug Manufacture Assistance Programs for FREE medications.
- 60%-80% savings on RX with International Mail Order.
- Charity foundation grants on Orphan medications.
- Powerful claims avoidance for the plan sponsor.
- Significant employee out-of-pocket savings.
- Annual Physicals
- Check-Up’s
- Immunizations
- Flu Shots
- Mammograms & Cervical Screenings
- Colonoscopy
- Hearing
- Vision
- Medical & RX Claims Data
- Case Management
- Monthly Aggregate
- Enrollments
- LAG Reporting
- IBNR Reports
- Bi-Weekly Check Registers
- Reinsurance Reimbursements
- Next Generation in Predictive Analytics.
- Effectively Manage Claim Risks.
- Collect & Analyze Medical & Pharmacy Claims.
- Identify Multi-Point Triggers & Benchmarks.
- Identify Saving Opportunities and Drive Down Healthcare Costs.
- Implement Better Healthcare Wellness Strategies with Proven Results.
- Expanding a Culture of Good Health.
- Individual and Group Bio Metrics
- Built-In Technology for Tracking Outcomes & Performance.
- Result Driven Smoking Cessation Products & Programs.
- Weight Loss & Nutrition Programs.
- Employee Assistance Programs (EAP) for Mental Health.
- Financial Incentives Based on Outcomes.
- Team Building & Healthy Challenges.
- Dental
- Vision
- Hearing
- Life
- Short Term Disability
- Long Term Disability
Access to National & Regional TPA’s
INTEGRATED TPA SERVICES
- Access to real-time eligibility
- Accounting support, reconciliation & banking
- Comprehensive COBRA Administration
- Claim processing, adjudication and auditing
- Case management and utilization reviews
- Direct Customer service & call center
- Plan setup, implementation & SPD production
- Customized enrollment materials
- ID card production
- Stop loss claims filings and audits
- Compliance & legal services
- 5500 filing & actuarial services