A Management Approach to Healthcare Plans
RAM Benefits, Inc. provides clients with
a comprehensive array of services in the design, funding,
pricing and management of their self funded benefit plans.
Using a risk management approach, we design the plan with
an emphasis on the ability to manage claim costs, while
maximizing the flexibility in plan management over time.
Clients receive the value of these services in the design
and management of their plan:
- Plan Performance Analysis - We build and maintain a
database for all claim activity.
- Medical Claims Analysis
Tool: D2HawkeyeExplorer – Produces reports
that help employers lower healthcare costs – See
D2HawkeyeExplorer for
more information.
- Determining "Best Fit" Plan Administration using
our proprietary TPA Data Base and Decision Criteria Grading
System, emphasizing TPA efficiency, ERISA compliance,
Claims Systems and Internal processes. Review of Provider
Network emphasizing network efficiency, geographical
access studies and discount analysis.
- PriceMODELER – Provides
our Self-Insured or Defined Contribution Programs
or Large, fully-insured employers with accurate projections
of the cost implications of changes to their benefit
plan designs. See PriceMODELER for
more information
- Risk Management - Through an efficient, electronic
Stop-Loss Insurance Market Study, we determine the
most cost-effective protection for the client through
the major insurers.
- Benefit Manager & CFO Educational & Technical Support
- Education on how self-funded plans work,
cash flow characteristics and administrative responsibilities
of all parties.
- Implementing Prudent Plan Accounting (Claim
reserves, accruals, claim lag monitoring).
- Development of Annual Benefit Plan Budgets.
- Timely, Understandable Plan Management Reporting.
- Monitoring the Efficiency of Plan Administration.
- Dedicated Account Managers
- Extensive Plan Management Report Package - Includes Monthly tracking of Aggregate Claims, Paid
Claims Analysis and Specific Large Claimant activity.
A comprehensive Quarterly, Semiannually management report
package is available.
- An efficient Plan Renewal Process is conducted,
following defined action-step checklists beginning
120 days prior to the plan anniversary date.
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