Healthcare • HR • Employee Benefits
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Health and Benefits Management Platform
Proprietary data warehouse and analytics tools (HRA, PHR, decision support system, benefits advice, provider performance reporting).
- Medical claims
- Rx claims
- Lab values (from hospital, ambulatory and biometric screenings)
- Absence data
- Risk stratification
- Predictive modeling
- Local best practice
- Medical plan tiered networks of facilities and physicians to "close the system" and drive care to high quality/lower cost providers
- Co-pay design to support access and adherence
- Cost sharing to support participation and outcomes
- Rx plan design to promote medication adherence through maintenance programs and reduced (or no cost) for lower cost alternative therapies and chronic condition medications
- Rx formulary management
- If applicable, Rx through 340(b) pharmacy
- Supportive benefits like nutritional counseling and tobacco cessation
