HEALTH CLAIMS MANAGEMENT

Risk Management

Our Risk Management program is designed to expand the reach of traditional wellness programs to include the following additional risks:

  • Chronic Conditions
  • Preventative Protocols
  • Medication Adherence   


Medical and RX claims are the primary sources of data we use to provide this service, however other data elements such as bio-metric screenings and Health Risk Assessments are also used to obtain a complete picture of an individual's risk profile. Like any risk management product, efficacy is determined by improving the underlying metrics which define each risk. Data Analytics, Transparent Communications, Incentive Management, and Coaching, support employee engagement. There is no need for fuzzy ROI calculations as employers are provided access to a data analytics tool which identifies risk and measures the results.They can see for themselves how the program is working!