As healthcare insurance experts with over 25 years of experience, we have successfully built healthcare programs for a wide range of employers, for both fully insured and self-insured medical plans. We have also worked with all major medical carriers in both the U.S. and abroad. Through the years, we have developed a significant understanding of the structure and operating patterns of medical carriers, which has resulted in positive settlements for our clients.
One area we have given special attention to is federal and state compliance. This has been a major focus, as it relates to the employer community, as well as the carriers that provide coverages.
Self-insured medical plans by employers are our primary field of expertise. As consultants and certified senior reference-based pricing (CRBP) specialists, we have negotiated with all major hospitals and providers in matters relating to billed charges vs. settled claims. We have helped assess the analytics in order to give employers more power during the settlement process.
Other areas in which we have gained valuable experience include over 20 years in insurance/reinsurance management, as well as extensive involvement in underwriting, claims, marketing, strategic planning, government regulations, regulatory requirements, finance and general management.
We would be happy to provide references so they might share the successes we have attained together.
