health advocate overview presentation
DESCRIPTION
Brief 11 Slide Presentation Giving You Insight to Health AdvocateTRANSCRIPT
CLIENTS
Serving America
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• The nation’s leading Healthcare Advocacy and Assistance Program• A distinguished roster of more than 6000 clients across the nation• An outstanding management and team with unparalleled experience in healthcare and health insurance benefits• A full-time staff of clinical and health benefits professionals who are objective and competent• Powerful and proprietary infrastructure and systems to support our clients• A privately-held company founded in 2001• Financially strong, profitable and debt-free• Directly penetrated a broad cross section of employers, unions, governmental entities, and insurance carriers • Enjoys established relationships with brokers, consultants and other distributors
throughout the country
An Overview of Health Advocate
OVERVIEW
SOLUTIONS
HealthAdvocate
A Complete Spectrum of Business Solutions
Complementary Solutions
Wellness andWork/Life Support
BenefitsGateway
Cost-SavingSolutions HR Solutions
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Medical Bill Saver™Wellness Advocate™
EAP and Work/Life™
NurseLine™
Enrollment Advocate™Benefits Gateway™
Health InformationDashboard™
Medical DecisionSupport™
Independent AppealsAdministration™
FMLA Support™
Chronic CareManagement™
Core Health Advocacy
Core Health Advocacy Solution Close-up• Highly personalized
• We do the work for the member
• Helps members navigate healthcare and insurance-related issues
• Experts who know the ins-and-outs of the healthcare system
• Saves time and money
CORE HEALTH ADVOCACY
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Addresses the entire family’s needs
• Employee
• Spouse or Domestic Partner
• Dependent Children
• Parents and Parents-in-law
ELIGIBILITY
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What is a Personal Health Advocate?• Typically a registered nurse with considerable
experience in the medical delivery system
• Supported by physicians and specialists in claims management, behavioral health, social work and other specialties
• Single, ongoing contact person
• Chosen for medical expertise, commitment to service excellence and strong problem resolution skills
PERSONAL HEALTH ADVOCATE
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How We Help• Find qualified doctors, dentists, hospitals,
other healthcare providers anywhere in the country
• Expedite appointments including thosewith hard-to-reach specialists; arrange for specialized treatments and tests
• Provide comparative health cost estimates
• Help resolve insurance claims
• Negotiate billing and payment arrangements
• Assist with eldercare such as finding adult daycare, assisted living and other related issues facing parents, parents-in-law
• Work with insurance companies to obtain appropriate approvals for needed services
• Obtain unbiased health information about complex medical conditions to help make informed decisions
• Answer questions about test results, treatments and medication prescribed by the physician
• Assist in the transfer of medical records, X-rays and lab results
• Locate and research the newest treatments for a medical condition
• Explain benefits and help facilitate access to appropriate care
HOW WE HELP
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• Plan savings –
i.e. less ping ponging around system, guidance to more appropriate services, pre treatment health cost estimator, wrong charges
• Member savings –
i.e. forgiveness of provider charges, negotiation of out of pocket, correction of wrong coded claims
• Time savings for HR Staff and Employee
• Peace of mind which leads to better focused employee
• Greater value and use of other benefits provided by you
• Health Advocate coordinates and facilitates as appropriate during course of assisting employee
Business Rationale for Health Advocate
BUSINESS RATIONAL
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Business Rationale for Health Advocate continued…
• Buffer for company on all issues
• Support for increasing employee/consumer role– Facilitate where needed– Pre Treatment cost estimator may reduce claims– Negotiate down remaining out of pocket by as much as 50%
• Easy access and support for decentralized workers on job sites
• Proven resource for catastrophic or unexpected situations ( i.e.- Hurricane Katrina Victims )
• Provide information and perspective to employer on any plan policy issues
• Assist with acquisitions and benefit platform changes
• Great resource for suspect disability cases
• Wellness solutions including personal one on one coaching
BUSINESS RATIONAL CONTINUED
Thank You
For more information contact:
Bowie Hogg
Assistant Vice President, Sales
817.962.0207
CONTACT
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