Routine Plan Monitoring (RPM) uses audit results to set performance improvement targets. Health Decisions goes beyond claim recovery to include cost avoidance and process improvement savings. This gives the plan, payer, and broker/consultant:
RPM reviews can provide the plan with new ways to reduce costs throughout the year:
Taking the responsibility to implement Routine Plan Monitoring introduces management controls akin to Deming, Kaizen, and Six Sigma to self-funding. Participation from payers confirms commitment to true transparency in administration.
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