Current Condition Reports
The first step in any journey is to determine the starting point
- Where am I? Current Condition Analysis does just that. These reports
display a concise and colorful series of standardized reports that
inform your clients about the utilization pattern of their benefits
program. These reports range from Age and Family Member distribution
of claims to PPO usage and Lifestyle Analysis. Customization of
the reports is available including the capability to Drill Down
into subcategories to examine the utilization pattern in more detail.
Plan Design Modeler
Precision ability to maneuver the reefs and shallows of the Journey
gives fastest access to the desired "safe harbor". The
precision to alter virtually the entire benefit structure of the
Plan and recalculate the historical claim records allows the Risk
Manager to assess the impact on both the program costs and the employees.
History, as modified by the Plan Design Modeler, forms the foundation
for the prediction of all future results. The ability to recalculate
the historical claims in a live modeling environment gives the Risk
Manager the precision tools to truly see impact and project those
results forward in the design of the benefit configuration. Interfaces
that are easy to utilize give the User the "surgical"
tools to design the precise details of the Plan. The Network of
choice can be integrated into the modeling so the Risk Manager can
assess the impact of both Plan Design changes and Network changes.
Internet access allows access over secure channels to the historical
claim records for a true interactive consulting experience with
the client. Precise colorful reports display the end results of
this management tool. These reports range from details about the
variables being modeled, summary plan financial impact, detailed
benefit category financial impact and individual employee financial
impact comparisons.
Rx Plan Modeler
Improving plan performance and controlling cost through pharmacy
benefit modification can be investigated and studied using BEAM?s
Rx Design Modeling module. Manipulation of employee contributions,
generic and brand reimbursement rates, and mail vs. retail discount
incentives can be performed to determine impact upon the employee
population as well as the plan?s overall economic performance.
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