High Cost Medical Claims Consulting
Micro-Consulting
High-Cost Claims Profile
Your high-cost claimant profile offers a key to exorbitant expenditures in your plan. This key can help inform the modifications and upgrades you are considering to provide better value to your plan members while minding medical and pharmacy costs.
Marketplace Fit
Many healthcare innovators come to the table with misassumptions about employer needs and wants. Savvy innovators recognize that due diligence for the self-insured employer marketplace requires industry-specific knowledge and experience in employee benefits.
The Micro-Consulting Process: In Brief
1) NEEDS ASSESSMENT
1) NEEDS ASSESSMENT
1) NEEDS ASSESSMENT
- Define the scope of the project with client.
- Clarify business objective.
- Identify what resources will need to be reviewed.
- Identify what additional associates or stakeholders might be included.
- Agree on project goals and scope.
2) Deep Dive
1) NEEDS ASSESSMENT
1) NEEDS ASSESSMENT
- Review available resources.
- Meet with additional associates and stakeholders.
- Refine and research further, as needed.
3) Recommendations
1) NEEDS ASSESSMENT
3) Recommendations
- Provide summary and recommendations with client.
- Get feedback.
- Revise and elaborate accordingly.
How I work
Flexible, scalable consulting to provide value.
I offer flexible and scalable consulting services designed to help your organization get what it needs for a reasonable fee.
For high-cost claimant analysis this means an efficient review of your claims exposure and current medical cost mitigation strategies. You want specific, tailored and practical recommendations for next year's approach to health plan costs.
For healthcare innovation you want a thorough review of your product offering with a keen eye for what plays and what doesn't;t play ion a very niche marketplace.
