StrateBen

StrateHealth Health Management

sitemaster — Thu, 02 Aug 2018 04:06:57 +0000

StrateHealth Health Management sitemaster Aug 2, 2018

CLINICALLY FOCUSED HEALTH MANAGEMENT

The Key to Our System

StrateHealth's Personal Health Management System is the single source solution to maximize every health plan dollar investment. It is designed to assist members in achieving the best possible health outcomes and enhancing the member experience.

Given the rapid increase in plan costs and the impact on a business’ viability, advanced tools are required to effectively manage the trend of future healthcare costs. STRATeBEN’s proprietary approach of connecting innovative technology with focused clinical management is an industry leading strategy designed to place our clients in a position to manage — if not dictate — their healthplan's cost trend.

By using our unique advanced health management tools, we know exactly who will require additional attention and expert care advocacy in order to improve the quality of their care while at the same time reducing health plan spending. What are Clinically Based Medical Management Capabilities? By integrating Medical and Prescription drug claim data, we are able to identify patients' who will be high risk before they become a problem thereby improving patients lives through clinically based care management. This reduces plan costs while at the same time improving the quality of care.

CLINICALLY BASED HEALTH MANAGEMENT CAPABILITIES:

Integrate Medical and Rx claim data to identify patients who will be high risk before they become a problem
Identify the patients whose lives can be improved through clinically based care management plans
Reduce plan costs while at the same time improving the quality of care

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"Utilizing Data Can Impact Costs"

sitemaster — Sat, 03 Jun 2023 15:11:30 +0000

"Utilizing Data Can Impact Costs" sitemaster Jun 3, 2023

"Prolong Your Life by a Decade"

sitemaster — Sat, 03 Jun 2023 15:11:28 +0000

"Prolong Your Life by a Decade" sitemaster Jun 3, 2023

"Million Dollar Medical Claims Soar"

sitemaster — Sat, 03 Jun 2023 15:08:30 +0000

"Million Dollar Medical Claims Soar" sitemaster Jun 3, 2023

Information Management

msimmonds — Thu, 11 Feb 2021 17:13:32 +0000

Information Management msimmonds Feb 11, 2021

STRATeBEN’s proprietary approach to Health Plan Analysis and Benefit Modeling is an invaluable feature for employers concerned about staying in business. We provide information driven Benefit Plan evaluations and service impact analyses as well as Employee and Employer Cost Sharing options.

We provide a Monthly Plan Data Warehouse, which is an essential part of the assessment of the employee benefit program. Quarterly evaluations of 25 different reports reveal key elements of the current program to assure alignment with your benefits objectives.

REPORTING CAPABILITIES:

Trending Analyses of both Medical and Rx costs
Pooling Reports
Large Claim Analysis, including diagnosis and cost/savings impact
Network Effectiveness by calculating Access and Savings
Customer Service Benchmarks
Prospective Analytic Reports that predict future plan costs
Industry Benchmarking for benefit design, cost, and employee contributions

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Online Tools/Web Based Automation

msimmonds — Thu, 11 Feb 2021 17:09:47 +0000

Online Tools/Web Based Automation msimmonds Feb 11, 2021

WEB-BASED ENROLLMENT AND BENEFITS ADMINISTRATION

STRATeBEN recognizes the increased demands placed on benefits departments as well as the need for a more efficient approach to the administration of employee benefits programs. Our integrated solution is designed to leverage sophisticated technology in order to deliver ease of use, mobility, and service enhancement.

STRATeBEN provides a user-friendly, web-based enrollment application, enabling employees to enroll in their benefits program online, easily, and securely. This approach not only improves the enrollment process for all constituents; it turns over much of the responsibility for updating demographic information and selecting benefits from the benefits department to the members themselves.

CUSTOMIZED ENROLLMENT AND ONLINE ADMINISTRATION INCLUDES:

Tailored employee materials (e.g., benefits guide and carrier web site links)
Custom login page with client logo and secure employee login
Secure authentication process
Wizard-style enrollment allowing customized plan enrollment for each employee
Print-friendly confirmation page summarizing all elections

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Benefit Plan Evaluations

sitemaster — Thu, 02 Aug 2018 04:09:30 +0000

Benefit Plan Evaluations sitemaster Aug 2, 2018

STRATeBEN’s expertise in building and running both insurance carriers as well as third party employee benefits plan administrators provide us with unique insights into evaluating these service providers. We know what to examine in order to determine contractual compliance, service performance, and financial efficacy.

Our strategy of evaluating, selecting, and managing TPAs and Carriers to strict performance measures ensures that our client’s achieve their employee benefits goals.

EVALUATION CAPABILITIES:

Current Plan Evaluation
Current Service Provider Evaluation on a 45 point service criteria scale
Selection recommendations
Contract negotiations with Performance Guarantees
Implementation Management
Ongoing Performance measurement of all vendors
STRATeBEN Performance Guarantees

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Risk & Pharmacy Management

sitemaster — Thu, 02 Aug 2018 04:09:23 +0000

Risk & Pharmacy Management sitemaster Aug 2, 2018

RISK MANAGEMENT/STOP LOSS INSURANCE

STRATeBEN has a seasoned underwriting staff dedicated to matching the correct risk management tools to your organization’s risk tolerance. Our proprietary reporting tools allow us to evaluate a multitude of options prior to selection, which gives our client’s peace of mind knowing they have the correct risk coverage. Our underwriters also employ our prospective Clinical Management tools to evaluate the ongoing costs of a group plan, and they use these as leverage in their negotiations with stop loss carriers. Additionally, these tools aide by demonstrating to the stop loss carriers the active health care management our Clinical Management team conducts in order to protect all constituents' interests in the self funded environment.

RISK MANAGEMENT CAPABILITIES:

Coverage requirements
Specific deductible evaluations
Aggregate insurance and attachment factors evaluations
Prescription Drug cost risk management
Transplant review and large claim risk shifting
"Laser" evaluations and recommendations
Disclosure Assistance

PHARMACY BENEFIT MANAGEMENT REVIEW:

STRATeBEN has experience evaluating and building prescription drug plans. As plan sponsors now know, one of the key drivers of the alarming increase in health plan costs is Prescription Drug expenses. It requires an unique skill to evaluate PBM effectiveness and negotiate the best possible arrangements for a particular plan. In addition, a more sophisticated approach to benefit plan design will position plan sponsors for long-term survival.

PHARMACY BENEFIT MANAGEMENT CAPABILITIES:

Deliver sophisticated reporting tools
- Evaluate the effect of Rx expenses on the plan
- Integrate Rx information as a key indicator of potential large claimant identification
- Negotiate effective Rx arrangements
Hold Rx Partners to strict Performance Metrics
- Service
- Savings
- Claim Payment accuracy

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Benefit Plan & HR Compliance

sitemaster — Thu, 02 Aug 2018 04:09:10 +0000

Benefit Plan & HR Compliance sitemaster Aug 2, 2018

HEALTH REFORM ANALYSIS AND FINANCIAL RISK MANAGEMENT

Health Insurance Reform — aka ObamaCare — will have a dramatic effect on American businesses. As Certified Healthcare Reform Specialists (CHRS), STRATeBEN recognizes the changes this puts on employers. We have developed tools to analyze the impact of the law as well as financial modeling tools to guide employers in navigating important business decisions to ensure their overall success and survival.

STRATeBEN has invested the time and resources to become experts in the Health Care Reform legislation. It is a complex and confusing set of regulations that require careful and detailed analysis to navigate. Please visit our Health Insurance Reform page (under Resources) for information on the law.

COMPLIANCE AND FINANCIAL MODELING:

Plan quality testing to identify potential problems resulting in penalties
Plan financial affordability testing to identify problems resulting in penalties
Part-time worker analysis to identify financial risk of additional insureds
"Unqualified" waiver analysis to identify financial risk of additional insureds

HR COMPLIANCE AND SUPPORT

Plan compliance is an important component in managing all employee benefit programs today. The legislative environment has become extremely complex, and we have a dedicated compliance expert that is well versed in all aspects of ERISA based plans. We support our clients in all areas such as ERISA, Department of Labor, and IRS regulations.

STRATeBEN’s compliance solution includes Summary Plan Descriptions, HIPAA compliance, COBRA compliance, and Flexible Spending Account compliance.

COMPLIANCE CAPABILITIES:

Document Preparation

Summary Plan Descriptions
Form 5500 support
Section 125 Plan Documents
Medicare plan compliance

Legislative Updates:

Family and Medical Leave Act
HIPAA
COBRA

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Client & Member Service

sitemaster — Thu, 02 Aug 2018 04:08:07 +0000

Client & Member Service sitemaster Aug 2, 2018

STRATeBEN understands the scope of the employee benefits investment made by an employer; therefore, our member support is a key business function. The delivery and management of health benefits can be daunting to many people. Clients and their members will experience a new appreciation for the way employee benefits should be delivered through the use of sophisticated technology, clear communications, and a dedicated service team.

CLIENT SERVICE CAPABILITIES:

Dedicated Account Manager
Single point of management for all Employee Benefits Plan components
Web Self Service for Employees and HR
Customized Employee Benefits Communications

The value of STRATeBEN’s integrated approach to Service and Benefits Administration allows us to simplify interactions for you, provide real-time information, and allow your human resources professionals to focus on employee productivity.

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