Simplifying Health Care Administration And Cost For Employers
There was a time when most critical health care decisions took
place within the confines of the doctor-patient relationship. But
that was then and this is now. And now, while it’s still about the
delivery of quality health care to patients, it’s also about how
employers manage the processes, the structures and the costs of
their overall health care program. It’s about how claims are
settled and managed, safety programs administered and monitored,
and financial plans rated and evaluated. These pieces are integral
in fighting the rising costs of healthcare – and minimizing their
impact on the bottom line.
For employers of all types, how these interrelated pieces of
the overall health care program are selected and managed can make
or break both the quality of employee care and the cost at which
it is offered. And, after its selection, the management and
administration of the health care program benefits become pivotal
in its success.
Benefits 1 Group provides third party administration
services designed to enhance your health care benefits package
while helping you contain costs and eliminate bureaucratic
hassles. From plan creation, to Workers’ Compensation claims
management, Benefits 1 Group is the employer’s one stop source for
coordinated employee health, disability, and Workers’ Compensation
benefits needs.
Our approach is personalized, knowledgeable and responsive. We
employ a three-pronged service approach that includes:
- Accident and Loss Prevention which includes periodic
safety inspections; OSHA record keeping consultation, regulation
compliance, and citation defense; and ergonomic assessment and
remediation.
- Financial Oversight including underwriting or manual
classification review; group rating analysis; retrospective
rating evaluation; self insurance studies; and business
planning.
- Claims Management including evaluation of ongoing
claims from previous experience periods; assistance in the new
claim certification decision process; active involvement with
both the employer and the health care provider to accomplish
early return to work of injured workers; assistance obtaining
appropriate medical care for injured workers; implementation of
independent medical exams and other cost control measures where
appropriate; and assistance in early prevention of costly and
time consuming litigation.
For self-insured employers, Benefits 1 Group services also
include appropriate focus on resolving issues specific to their
situation. Excess or stop loss insurance, risk management,
benefits payment, and regulatory documentation are all of part of
the services available to self insured employers.
In Workers’ Compensation, a legacy specialty area of Benefits 1
Group, Benefits 1 has world class expertise dealing with the
special complexities of that system. The Benefits 1 executive team
is comprised of former senior managers from the regulatory side.
Most have extensive experience as Hearings Officers and in
hearings settings. They know the inside story on how hearings
work, and how parties win.
Beyond our third party management role, Benefits 1 Group also
calls on its team of experienced health care advisors to assist
companies in evaluating new health care benefit plans. The health
care professionals at Benefits 1 Group understand the healthcare
requirements, the issues, the options and the needs that are
certain to affect all employers.
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