Our strategy addresses employer issues related to Plan Sponsor Fiduciary Liability for self-funded health plans. Since employees pay a portion of the healthcare expenses, employers are responsible to ensure the plans are spending the dollars prudently. Our program identifies fraud, waste and abuse in the payer system and allows the employer the ability to correct many of these inefficiencies therefore reducing their liability and costs.
Strongside Solutions has the unique ability to approach large self funded employers with a retrospective and prospective solution. Our solutions are not just our vendors/partners, it is in how we manage the overall program, approach and data process. Our program allows multiple solutions to be bundled together provide maximum value by providing real comprehensive solutions. By identifying the fraud, waste, and abuse in your health plan we can provide solutions for any fiduciary gaps we find in the plan. This will show us:
- How much previously spend medical claim dollars we can go back and collect, usually 5% of your spend.
- How much we can guarantee in savings by filling those fiduciary gaps, (PBM Savings avg 20%)
- How much can be saved by actually managing the health plan using our solution.
We help create high value networks both domestically and internationally by selecting high value, high quality, and low cost providers. We can custom design these networks within an existing program by driving employees to the selected providers. By adding our program, second opinions and steerage we can generate 7-10% savings of total spend by actively managing the health care risk
Our provider network includes Surgical Centers, Regenerative Medicine Centers and many others to provide a comprehensive solution.
Our agile healthcare platform helps adjudicate claims and holds the network accountable
Population Health Management
Population health management includes collecting and analyzing data on segments of your patient population and managing specific diseases, and healthcare risks within that population. A successful program will give real-time insights to both clinicians and administrators to allow them to identify care gaps within the population. A well-developed care management program is the key to better outcomes and cost savings, especially in populations with chronic disease. By actively managing your healthcare risk you can improve outcomes, efficiencies, costs, and fiduciary risk. With actionable solutions and the ability to identify High value providers you can steer patients to the better providers using monetary incentives that benefit the employer and employee.