Markets
Self-Funded Employers
Health Decisions offers the most comprehensive and sophisticated Post Payment Claim Recovery Service in the industry. Nobody addresses more areas of claim recovery or recovers more money per client than we do. In addition, we will develop customized recovery applications requested by the client at no additional cost.
Health Decisions offers the most comprehensive and sophisticated Post Payment Claim Recovery Service in the industry. Nobody addresses more areas of claim recovery or recovers more money per client than we do. In addition, we will develop customized recovery applications requested by the client at no additional cost.
Insurers
Most insurers have taken traditional cost-containment efforts to the limit. But generating the level of savings needed in today’s highly competitive benefits marketplace remains a challenge.
Most insurers have taken traditional cost-containment efforts to the limit. But generating the level of savings needed in today’s highly competitive benefits marketplace remains a challenge.
HMO
HMO profit margins have been reduced to less than 3 percent because of cost containment initiatives and intense market competition. Given this thin margin, the 2-3 percent of claims costs recovered by Health Decisions, Inc. has a dramatic effect on the bottom line of most of our HMO clients.
HMO profit margins have been reduced to less than 3 percent because of cost containment initiatives and intense market competition. Given this thin margin, the 2-3 percent of claims costs recovered by Health Decisions, Inc. has a dramatic effect on the bottom line of most of our HMO clients.
Third Party Administrators (TPA)
Administrative fees have fallen, and competitive pressures are keeping them down. Yet your clients are expecting even more services and greater cost-cutting assistance.
Administrative fees have fallen, and competitive pressures are keeping them down. Yet your clients are expecting even more services and greater cost-cutting assistance.
Consultants/Brokers
Consultants and brokers servicing self-funded clients find that dealing with these data expectations can be one of the most time-consuming and challenging tasks they face.
Consultants and brokers servicing self-funded clients find that dealing with these data expectations can be one of the most time-consuming and challenging tasks they face.
Union Trust
Health Decisions is aware of and equipped to deal with the special relationship Union Trusts have with union membership. We are experienced in working with Union Trusts and Boards to assure effective health insurance plan administration as a means of maximizing benefits for members.
Health Decisions is aware of and equipped to deal with the special relationship Union Trusts have with union membership. We are experienced in working with Union Trusts and Boards to assure effective health insurance plan administration as a means of maximizing benefits for members.
Blue Cross/Blue Shield
Health Decisions, Inc. appreciates the unique role and leadership position Blue Cross/Blue Shield plays in the healthcare community. We have experienced a very positive relationship with BC/BS companies, both directly and through clients.
Health Decisions, Inc. appreciates the unique role and leadership position Blue Cross/Blue Shield plays in the healthcare community. We have experienced a very positive relationship with BC/BS companies, both directly and through clients.