The application uses client specific demographic data (i.e., salary, tier, plans, etc.) and corporate preference settings (i.e., tiers, tax rates, employer contributions) to develop multiple scenarios for strategic consideration.
The utility provides a slate of healthcare alternatives (unlimited) from which to select (or veto) using client specific demographic and cost data.
The cost for inpatient care, outpatient treatment, professional services and prescription drugs is contained by organizations capable of applying leverage and extracting savings through negotiated provider contracts.
The in-depth comparative analysis developed evaluates network effectiveness from penetration, savings, cannibalization and fixed costs.
The underwriting process is the application of the law of large numbers using actual claims, membership data, pooling points, design changes and trend to develop the total costs
and tiered funding rates.
The application is the combination of underwriting methods and advanced time series forecasting techniques for use to fund, budget and negotiate.
Stop loss coverage that protects the employer against severity (specific) and frequency (aggregate) claims under an ASO arrangement may be direct with an insurance company or through some form of a captive.
The module integrates contract features such as lasering, deductibles, profit sharing, rates, etc., and graphically illustrates the optimal selection.