Cost Modeling - Self-insured employers with 50+ employees on their plan:

Claim repricing and vendor vetting for replacing vendors with 100% transparency and business to a Fiduciary Standard. Implementing “Best in Class” vendors reduces spending by up to 25% and improves Benefit Satisfaction.

• Data mine 24 months of Healthcare and Rx Claims.

• Reprice all consumed healthcare. This will illustrate any overcharging in your current claim adjudication process.

• Checking your PBM’s charges per the written script will expose excess profiteering.

• Check your benefit vendors for accuracy and integrity. Recommend new vendors for claim adjudication, network, administration, and Pharmacy Benefit Management when needed. Recommended vendors are 100% Transparent & do business to a Fiduciary Standard, which will increase benefit satisfaction and reduce benefit costs.