Health, Wellness & Fitness - Bethel Park, Pennsylvania, United States
HealthKeys has developed "Health Claims Management", a new comprehensive product for Benefit Advisors, to help their self-funded clients reduce health claims cost, without changing claim payors or shifting cost to employees. Through our unique Service Platform, we coordinate claim avoidance tactics (Disease Management and Wellness) with a number of hard dollar savings tactics, to minimize claims cost.Our Service Platform, which is highly configurable, includes the following:• Data Analytics/Predictive Modeling• Communications Portal• Incentive Management• Nurse NavigatorsThe advantages realized from our platform are;• A single location for communication and incentive management, allows us to lead employees directly to the products that will provide the most benefit to themselves and their employer.• We include products currently offered by the employer which may be underutilized, as well as new products such as Direct Contracting and Pharmacy Tourism.• Combining disease management and wellness into a single claim avoidance product increases our reach and engagement, while forming the foundation of our product.• Pass the CFO eye test; all savings are measured through our data analytics tool, using the employers claims data.Health Claims Management is a comprehensive strategy that addresses the needs of the primary stakeholders; reduce claim costs for the employer, and a reduction in out of pocket expenses for the employee.
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