» Self Insured Employers

Attracting and keeping the best people is critical to the success of most businesses. Competing in today’s highly competitive market place takes a workforce that is productive, creative and engaged. It takes a high level of employee satisfaction to achieve high levels of performance, and a key part of the foundation impacting the satisfaction of your employees is an affordable employee health plan. But maintaining employee choice and plan affordability is a real challenge. MCR helps maintain health plan affordability by saving significant dollars on unwarranted expenditures.

Unwarranted Expenditures

It is estimated that as much as 10% of total healthcare expenditures is unwarranted, including health claims being paid that should not have been paid! This can be attributed to a variety of factors including:

• human error
• incorrect information
• an avalanche of claims
• the complexities of medical coding and billing

What systems does your current health plan administration have in place to prevent unwarranted expenditures, and how well is it working?

Preventing Overpayments

Ask your Insurance Broker to see a report of the number and percentage of coding errors that your current system is catching before payment is made. If such a report is not available through your current TPA, ask them to contact us to learn how we save employer-sponsored health plans significant dollars on unwarranted payments.