We provide a complex claims management service that proactively monitors high-cost claimants. Our dedicated clinical team identifies and deploys actionable strategies to achieve claims savings and cost containment results.
Your Stop Loss and Complex Claims Program Under Control
$200M
Our cost containment strategies have yielded $200M in verified claim expense reduction.
CLINICAL WINS CASE STUDIES
Annual Savings of Over
INPATIENT STAY IVIG INFUSIONS SAVINGS
Annual Savings of $906,100
Savings of Over
OUT-OF-NETWORK DIAGNOSTIC SERVICES SAVINGS
$1,025,000 savings
Savings of Over
DIALYSIS STEERAGE SAVINGS
$400,000 savings
Annual Savings of Over
Out-of-Network Diagnostic Services Savings
$167,980 savings
Savings of Over
HIGH-COST HERNIA REPAIR SAVINGS
$134,645 savings
Savings of Over
CANCER TREATMENTS SAVINGS
$130,000 annual savings
Annual Savings of Over
AIR AMBULANCE TRANSFER SERVICES SAVINGS
Savings of $94,625
Savings of Over
DENIAL OF AIR TRANSPORTATION SAVINGS
$67,071 savings
Savings of Over
REMICADE INJECTIONS COST SAVINGS
$56,973 annual savings
0.6% of the employee population accounts for 30% of employer healthcare expenditures.
