Our aggressive cost containment efforts have reduced bills by well over 50% in the last year. Reduce net medical with our proprietary software and process. These initiatives aim to curb the cost of a particular service or to reduce the amount of services provided. The premier provider of software and service solutions for insurance carriers, selfinsured companies, thirdparty administrators, state funds and public entities in the workers compensation and auto liability industries. In recent years, however, cost containment has assumed a special prominence in hospitals, becoming both a political and social necessity. Medical cost containment services rising medical solutions.
Willis risk control and claim advocacy practice rcca offers our. Containing the costs of health care can be useful to government, employer, and household budgets, but it may have a detrimental impact on innovation, since health care costs are the main source of revenue for medical innovators. The most important thing is always doing what is right. Integrated medical cost containment management business. Pcg works with healthcare payer and provider organizations to increase profitability by enhancing cost containment, maximizing financial recoveries, and significantly reducing fraud and abuse. By auditing medical accounts, ppo network administration, and ppo repricing, our healthcare cost management solutions automate and improve the claim cycle and transparency.
Willis risk control and claim advocacy practice medical. All bills are carefully evaluated by an our experienced team of claims professionals to determine whether. We provide a variety of services for individuals, self insured trust. Robert berenson, michael hash, thomas ault, beth fuchs, stephanie maxwell, lisa potetz and stephen zuckerman wrote this report for the aarp public policy institute. The medivi software platform is an industryleading source of transparent hospital financial and quality data. The hospitals and ahas activities in cost containment fall into four major categories. The authors from the urban institute and health policy alternatives inc. Our company was created because we saw an opportunity.
The application delivers a high level of fee schedule automation to maximize your workers compensation savings. Maritime medical cost containment if you are not using future cares medical audit and cost containment services, you likely are paying more than you should for your crew medical costs. Orchid medical is a leading, nationwide ancillary healthcare services company specializing in medical cost. In the medical cost containment business, that is true for all. This unique approach begins with a thorough assessment of prepaid claims by our internal experts. Cost containment regulatory initiatives entail a balancing act of limiting the cost of services and inappropriate or unnecessary treatment without negatively affecting the quality of treatment or access to. Ims represents the culmination of over 60 years experience within the cost containment industry. Artifical intelligence when incorporated in management platforms can analyse the data input related to all procedures which can later be tracked an compared easily.
Penfield care, an international medical cost containment company. Gmmis service provision stems from our comprehensive approach to medical cost containment and assistance services. Leader in workers compensation cost containment and. Penfield care, an international medical cost containment. Workers compensation large deductible and selfinsured programs through our medical cost containment analysis, a proprietary process developed by our. Health cost controls patient advocacy program plays a critical role in helping members and dependents with their healthcare costs. Cost containment definition of cost containment by medical.
We are compstar systems, a provider of medical cost containment software and services. The premier provider of cost containment and document management software and service solutions in the workers compensation and auto liability industries. Advanced medical pricing solutions amps provides market leading healthcare cost containment services for selffunded employers, public entities, municipalities, labor unions, brokers, consultants, tpas, payers, reinsurers, and hmos. Savings can be realized through medical managementcondition management, demand management, and case management. Cost containment programs can also be implemented in the medical plan. He completed his residency in internal medicine from scripps mercy hospital in san diego and has practiced both internal and emergency medicine. Spero graduated medical school from the university of california, davis. Our cost containment software solutions empower the payer organizations with robust knowledge management and utilization of leading medicare benchmarking tools. Discover why intelligent medical solutions is the industry leader in cost containment. It combines evidencebased analysis, inperson conversations, knowledgeable nurse experts, and an unprecedented followup protocol to impact real, meaningf. Healthcare cost containment healthcare cost management. They include international health and travel insurers and medical assistance companies based outside the uk. Healthcare cost containment solutions 6 degrees health, inc.
Analyzing your medical data can be the first step in controlling those costs. While healthcare costs have risen dramatically over the past decade, cost containment organizations are successfully leveraging plexis proven payer platform to reduce the utilization and cost of unnecessary health services. American healths medical cost containment provides a comprehensive solution for clients, verifying that charges billed are appropriate for the care provided. Our mission is to deliver personalized representation and efficient, costconscious services with an emphasis on optimum medical outcomes. Self funded medical insurance cost containment strategies.
Identifying questionable charges that are incorrect, inconsistent, unjustified, coding errors, upcoding, unbundling errors or erroneous. Medical innovations hit the market place so fast that even the best tpas with the latest adjudication software can benefit from the. Blueprint for workers comp cost containment product page. One of the plans main purposes is to provide the necessary services and ensure that its members receive the proper treatment. An opportunity to provide exceptional customer service, integrity, and leading edge technology. Excellent integration with claims systems, ppo and specialty.
National provider of medical cost containment solutions through a unique business model that delivers innovative, integrated, and flexible services focused to improve healthcare management and costs long history providing customized integrated cost containment service programs specifically to the workers compensation, auto. Leader in workers compensation cost containment and medical. Comptech medical management is one of the leaders in the workers compensation cost containment industry. Whether you are seeking to overhaul your own workers compensation program or help a client finetune an already effective program, blueprint for workers comp cost containment gives you insight and solutions for controlling or even reducing workers compensation costs and premiums. Population health management programs look at demographic and claims data to. Medical cost containment professionals, llc preferred. Cost containment solutions uk and worldwide medical. Cost containment has long been a concern of hospitals and the american hospital association aha.
Our mission is to deliver personalized representation and efficient, cost conscious services with an emphasis on optimum medical outcomes. World medical care is constantly evolving to ensure that our international clients have a complete set of leading solutions to manage the three universal fundamentals of. Knowledgeable medical specialists, including registered nurses and physician advisors, along with state of the art software, help achieve maximum cost savings. Developers seek profits and so are attracted to industries. Penfield care is an international medical cost containment and case management company specializing in domestic and international healthcare solutions. Employee healthcare cost containment a strategy that works. Healthcare and benefit cost containment strategies and solutions for your. Identifying questionable charges that are incorrect. As a pioneer in the wc market for implants cost management, our surgical cost containment program sccp makes us one of the only providers who delivers a holistic approach to surgical cost containment. Smart controls, a well thought out strategy and other cost containment tools can result in better care and better outcomes for your employees, while significantly lowering costs for all.
Medical innovations hit the market place so fast that even the best tpas with the latest adjudication software can benefit from the watchful eye offered by our physician advisors and registered nurse case managers. A diverse range of client organisations utilise our uk medical assistance and cost containment solutions. Novare was founded for the growing needs of employers and the insurance community seeking effective and responsible medical management services for injured workers. Our solutions have been tailored and continue to evolve to ensure that our clients customers are receiving the right care medical management, at the right place i. Smart controls, a well thought out strategy and other cost containment tools can result in better care and. Medical cost containment professionals, llc is a hybrid network that offers direct contracts as well as fee negotiation services. Heading into 2020, medical cost trend is expected to increase slightly. The awardwinning medical cost containment program of marm significantly reduces claims costs for its insurance and assistance clients, without compromising. With over 150,000 providers agreeing to work with us on a their out of network claims, we can capture greater savings for our clients no matter the size of the claim. World medical care is constantly evolving to ensure that our international clients have a complete set of leading solutions to manage the three universal fundamentals of healthcare. Jonathan spero is the ceo of inhouse physicians and a thought leader in the area of cost containment solutions for selfinsured employers. Cost containment for workers compensation conduent. Lower pharmaceutical costs and improve patients quality of life with our unique, threephase pharmacy intervention program.
Medical cost containment platform software medinyx. Medical services and procedures are documented properly. We continually develop, test, and implement new solutions to meet the ever changing needs of our clients. Willis risk control and claim advocacy practice medical cost containment solutions businesses are challenged every day to control the cost of workers compensation and to improve their bottom lines. Healthcare cost containment solutions 6 degrees health. An opportunity to help our clients by providing solutions, increasing productivity, and lowering costs. It gathers, sorts, and organizes the data from millions. Each june, pwcs health research institute hri projects the growth of medical costs in the employer insurance market for the coming calendar year and identifies the leading factors expected to impact the trend. Strataware is bestfit software built for cost containment.
The premier provider of cost containment and document management software and service solutions in. We offer a menu based approach for cost containment services to meet the particular needs of each of our clients. Employers are driving a trend toward alternative medical cost management seeking reprieve from inflated medical pricing and ppo overpayment. Data analytic driven medical cost containment solutions managed care, workers compensation, general liability proven track record results delivered our services are customized for you hcrg specializes in medical cost containment solutions across the nation. The awardwinning medical cost containment program of marm significantly reduces claims costs for its insurance and assistance clients, without compromising the quality and efficiency of medical care that patients receive. The colorado cost containment certification board requires a safety and cost containment program that complies with criteria outlined in state statute. In the medical cost containment business, that is true for all three important sides of the triangle. The october issue features articles on addressing the sdoh impact on readmissions, valuating the cost benefit of medical technology, reducing healthcareassociated infections and assessing clinical costs. Orchid medical is a leading, nationwide ancillary healthcare services company specializing in medical cost containment for the workers compensation market.
Health care cost containment and medical innovation aspe. Cost containment with the plexis payer platform reduces utilization and unnecessary health services and costs across the board. Administering cost containment services payers leverage the plexis platform to successfully control expenses. Medlinks cost containment is a resource for medical professional instititions to outsource their billing, abstracting, auditing, coding, and staffing. Willis risk control and claim advocacy practice medical cost. An inhouse ebm software was developed in 2014 to achieve efficient and costeffective services for marm partners. Osp labs medical cost containment software solutions represent the interests of payers focusing on fraud detection, prevention, and overpayment recovery in. Cost containment for payers plexis healthcare systems. Our medivi platform provides valuable medical reimbursement analytics for audits, contracting, claim negotiation, and referencebased pricing. A formal declaration of a companywide safety policy. A uniquely qualified network ans medical and jurisdictional expertise, as well as a deepseated respect for physicians and genuine concern for injured workers wellbeing, allows us to achieve results you wont find anywhere else.