HEALTH INSURANCE CONSULTANTS

Healthcare consultants play a crucial role as intermediaries between organizations and healthcare insurance entities. Our analytics at HCRM simplify the complex task of navigating health plan options, allowing consultants to offer their clients more informed, tailored, and cost-effective guidance and proposals. We equip your healthcare organization with essential health plan data analytics to manage, track and report on the performance of those solutions.

Reporting Capabilities

  • HRM has a standard report that can be generated at the cohort (Asthma, etc.) employer group and book of business levels. These reports highlight cost and clinical trends as well as opportunities for risk and cost reduction. The reports can be white-labeled, customized and created in a monthly, quarterly or annual schedule. Additionally, they can be scheduled to be automatically emailed to clients, consultants and other parties as desired.
  • A Daily Dashboard alerting users to specific member claims for conditions (strokes, etc.) or events (inpatient admit, etc.) based on daily medical and pharmacy claims feeds is available for large case management, stop-loss reporting of potential shock-loss cases and health captive risk management. The dashboard alerts are customized for each client.