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Three Players Impact the Cost of Health Care Benefits
Plan Sponsor who designs the plan and provides
benefits
Participant who utilizes the services covered by
the Plan
Providers of service who render the treatment
The impact most Benefit Plan Administrators can have is limited to that in the Plan
Sponsor and the Participant. Sage Technologies is the exception
to this rule. The hands on experience we have with provider management and the ability
to analyze information from our extensive provider database give us a real advantage
over our competitors.
The Sage Technologies Advantage
Ability to drill down on claims data, identifying
participants who may not be in compliance with the most appropriate treatment plan
for their condition
Use of early detection of noncompliance to initiate
a managed care program so the patient and treatment cost can be positively affected
Plan Management Report Card focusing on actionable
items that measure the performance of all of the claims management resources being
employed
Ability to benchmark plan sponsor experience against
others in a like industry, size and location
Internal URAC accredited Utilization Review along
with internal Case Management and Disease Management - maximizing coordination and
control
Communication integrating all of the consumer assistance
and healthy lifestyle resources available to participants, along with quality initiatives
that contribute to the good health practices of individual participants through education
and the monitoring of specific diagnoses
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