PROVIDERS:
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High Value
Narrow Networks

Medical Cost Reduction & Claims Flow Management
Solutions
MEMBER PROGRAMS
Giving members more control & more options​​
Member Programs offer assessments and referrals for personal and family problems that may affect job performance.  Services also include short term counseling,   management consultation and educational workshops for employees and supervisors. Numerous studies consistently demonstrate the positive effect of a Member Program on productivity, turnover and claims costs for the health plan and Workers Compensation.
24/7 NURSE LINE & PHYSICIAN CONSULTATIONS
Direct phone and internet access to health care providers for triage & advice.  Lowers healthcare costs by increasing access to physicians, while reducing unncessary visits to the Emergency Room or Urgent Care.  Staffed by nurses & physicians who are specially trained to help with over 1,500 health topics.

PREDICTIVE MODELING
Looking ahead to potential future risk exposure.  Using our proprietary INETIPASS system, we identify tomorrow's at risk & high risk members, and recommend them for the appopriate programs, in order to avoid high costs down the road.

HEALTH RISK ASSESSMENT
Used to identify self-reported conditions for outreach / support options.  The Health Risk Assessment can include a Personal Health Record, health trackers, symptom checkers & the option to add incentive programs.  CLICK HERE TO TAKE THE ASSESSMENT

PATIENT ADVOCACY
Assisting members in making well-informed health care choices about their benefits, finding the right in-network provider, understanding options & costs for treatment, and claims & billing disputes. 

MENTAL HEALTH / SUBSTANCE ABUSE
Directing members to the most appropriate mode of care based on medical necessity guidelines.  The unique combination of medical management & an Employee Assistance Program allows members the best possible care while reducing the cost to the plan. 

MEMBER EDUCATION
Providing the support you need with brochures / literature, an E-learning course library with over 700 courses, wellbeing webinars & coaching regarding all facets of your health, nutrition & activity tracking,
walking programs, assessments & more!