CLAIM MITIGATION

AS SIMPLE AS THREE POINTS

WHAT IS THE UTILIZATION?

WHAT DOES IT MEAN?

HOW CAN YOU LOWER IT?

Utilization

Our motto is “Healthy People File Less Claims” — inspiring others toward wellness is harder than it sounds. Effective education and awareness alone has proven to lower utilization over 15%. We help you control utilization through plan design, designing effective financial incentives and partnering the right products along side of the corporate health plan(s).

WHAT IS YOUR CLAIM RESPONSE FACTOR?

Future financial success is achieved through a critical review of claim experience. We analyze your claim utilization and formulate initiatives to reduce these costs. This is where most claim analytics end, but we take it a step further and return to your claims post strategy implementation, and measure the shift from one year to the next, identifying your claim response factor.

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Claim Analytics

The O&A analytic team specializes in diagnosing and recommending strategies to lower utilization costs. We take an initial snapshot of claims and routinely track the results. Our clients can measure the effectiveness of new programs with customized benefits supported by evidence-based results.

 

Claim Redirection

An annual renewal is the result of how a corporation managed their claims during the plan year. Redirecting claims from your health plan can significantly shift expenses resulting in a lower cost. We implement redirection technology which includes free physician visits, discounted medications, and geofencing capabilities. Redirected claims result in increased profit.

Alternate Funding

O&A strongly believes alternative funding is the future of healthcare. In fact, it is one of the most effective methods of controlling your company’s healthcare cost. We provide more than 12 unique strategies of funding that allow your company to remain financially safe while gaining access to complete utilization reporting. Alternate funding also provides custom plan design and allows you to retain the surplus.

LEARN MORE ABOUT MITIGATION!