Medical Claims Management
Most employers can no longer afford to continue to provide the level of benefits they have in recent years. Companies are changing their health care benefits in response to rising health care costs, modifying traditional defined benefit retirement plans to better reflect a shorter service workforce and revising life and disability programs to more cost effectively address a diverse workforce. Regardless of your industry, location or size, Moulton & Hardin has unparalleled resources to help you develop effective strategies for your health insurance and benefit programs
Our Medical Claims Management is comprised of Lifestyle Management, Utilization Management, Compliance Management, and Pharmacy Benefit Management. Because we use new and unique concepts to control the increasing costs of Medical Insurance, employers choose M&H to partner with on their employee benefits plans. Our management solutions include:
- Partially Self Insured Plans
- Fully Insured Plans
- Minimum Premium Plans
- HSA’s, HRA’s, FSA’s
- Disease Management
- Wellness Plans
- Health Risk Assessments
- Biometric Screenings
- Lifestyle Management
- Coordinated Healthcare
- Medical & RX Claims Data Mining
- PPO Discount Analysis
- Claims Audits
- Utilization Analysis
- Pharmacy Benefit Management
- Network Discount Review and Analysis
- RX and Medical Claims Integration
- Incentive Driven Plans
- Benchmarking
- Educational Meetings and Communication Collateral
