Third Party Administrators

Are your administrative services ready to meet the opportunities created in the health insurance marketplace, or will you be stuck in the past? Health Chain Solutions will show you the benefits of their proprietary, healthcare cost reduction technology that can position your administration services as the premier TPA with healthcare cost control containment that will separate you from all competitors. Healthcare cost management to flatten renewals; wellness directives derived from disease and treatment needs of the employer group; increase the quality of life for all insureds.

Problems:

The inefficient healthcare industry's continuing cost escalation is rooted in poor workflow design, lack of standards, self-promotion to assure profit taking, slow adoption of business basics and implementation of information system technologies.

There is a general lack of personal accountability for one's personal health, which also leads to increased costs.  In fact, 62% of the aging Baby Boomer population currently between the ages of 50 and 62 are being treated for two or more chronic illnesses.

Solutions:

• Wellness Communication delivers comprehensive wellness directives determined by their doctors, compliance resources, their own health history, health risk assessments and biometrics. We provide employers with the services, tools and systems that engages every insured and validates the financial impact of healthcare cost management program.  Health Chain Solutions establishes the client's baseline from which to benchmark future positive and negative trends of every covered insured's adherence to treatment and preventative compliance.  This program validates the impact of treatment/preventative compliance on the current and future impact on employer's healthcare benefit financial risk.
• Health and Care Management strategies which encompass optimized treatment models and employee risk factors, and measures the effectiveness of healthcare services, disease and case management programs.
• Consumer/Patient Engagement Service Delivery provides engagement mechanisms that extend beyond the ordinary to include leading edge mobile communication technologies; web based technologies as well as Social Networks to deliver compliance messages and incentives to healthcare consumers of your employer client.  Health Chain Solutions empowers individuals to take control of their chronic disease so they can live longer, healthier and happier lives. By simply using a mobile phone and the web, patients can easily and conveniently take control of their personal care, compliance and "Quality of Life".
• Data Management & Reporting that reaches across employee benefit programs and the fragmented healthcare delivery silos to capture data and report outcomes and economic impact to Health Chain Solutions customers. Establishes the correlations between employee/patient behavior, wellness adherence, compliance, provider's care, outcomes and measures financial impact of positive and negative trends.