ROI

Your Return On Investment

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Financial Savings Generate "ROI"

In addition to effectively solving problems and assisting client needs, we also fully recognize that we must  must demonstrate that our service generates financial savings for our customers. We are achieving impressive results savings tens of thousands of dollars for our clients. This translates to a handsome "Return On Investment" for employers who have purchased our services. In the broadest sense, we see savings in the following areas:

Productivity Savings
Finding "Lost" Money
Reduced Medical Claims Cost

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Productivity Savings

Since we are familiar with the maze, our work frees either the Human Resources staff or the employees of an organization from having to deal with the matter at hand, this category of savings is fairly significant.

We are regularly spending a fraction - about a fifth or less - of the time that the organization's staff or their employees had been spending trying to resolve similar issues. Our clients provide the best testimony in this area.:

"We just couldn't get through the red tape." "Based on what they do and the fees they charge, it was a no-brainer. What we found is they are good at getting things done with the snap of a finger because they know the right person to talk to or the right form to fill out. They solved the problems in a matter of minutes, and it enabled the manger to go back to work free of that burden."  "Many case would have caused much more heavy financial burden if not handled by a qualified team."

bulletFinding "Lost" Money

We are finding significant savings for our clients in a host of areas including incorrect billing charges, improved provider negotiations, and better purchasing practices. Interestingly, in many cases we find these savings incidentally when asked to resolve a related problem. In a recent representative case, one of our members was left to pay a balance of almost $25,000 in physician and hospital charges following review of his claim by his insurance carrier. We intervened on behalf of our member and were able to eliminate virtually the entire balance following discussions and negotiations with the medical providers involved.

bulletReduced Medical Claims Cost

We are also seeing enormous financial implications in the area of what is best described as "Doctor Shopping" or "Medical Ping-Pong." Our work reveals a pattern of multiple medical claims as individuals in need of care wander their way through the system and "get lost" in the healthcare maze.

In this scenario, the employee or their family member has a medical problem, but cannot get the appropriate relief. They search to find the "best" physician to treat or manage their condition. The result as they go from doctor to doctor is duplicate laboratory tests, unnecessary diagnostic procedures and wasted medications. Of course, claim costs in these cases grow exponentially.

One example of our solution for this problem is our Advocates of Excellence program. It is designed to provide immediate intervention to help get our members to the "best-in-class" provider and have their care properly managed. This "do it right the first time" approach saves both precious medical resources and significant costs.
 
   

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