c cubed ov 7 30 2012
TRANSCRIPT
c-CUBEDClaim Cost Controls
Paul E. HackerPresident & CEO
The Problem• Lack of Pricing Transparency
o Medical, Hospital, ASC, Rx, Radiology
• Payer Claim Systemso Disparateo Antiquated
• Hidden Revenue Streamso Carriers, TPAs, PPOs, PBMs, Providers
• Philosophical Differences Between Payers, Carriers, and Providers
c-CUBED Solution• Who is c-Cubed?
o Claim Cost Controls• A D/B/A in NYS of The Paul E. Hacker Insurance Agency, Inc.
o PEHIA, Inc. a Sub S Corp in NYS formed in 1997
• What We Doo Contract with Best-of-Breed Solutions
• Population Health Management• Data Analysis• Wellness • UR/Precert.• ASO/TPA• Claim Review
o INN & OON
c-CUBED Process• Data Analysis
o Free ROI• 12 Months of Medical Claim and Rx Data
• Recommendations/Overview of Resultso Identify Top Areas of Claim Spend
• Diabetes, heart disease, obesity, high blood pressure?o Not Cookie Cutter Methodology
• Standard programs do not worko Need to customize specific game plan for employer or Union
o Employee Incentives to Maximize Engagement Rates• Gift cards, time off, richer benefits
• Implementationo Phased in approach
• Day-to-Day Supporto Account management from c-CUBED
c-CUBED• Q &A
• Next Steps
c-CUBED• Contact Information
o Paul E. Hacker, President & CEOo 1 Amani Drive, Gardiner, NY 12525
o 845-255-9292-Oo 845-800-4552-Co 845-255-9299-F