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Payment Integrity

Audit & Compliance

PaymentIntegrity.jpgOur Audit & Compliance solutions show you how to combat errors and comply with stricter due diligence requirements resulting from healthcare reform legislation by modeling health benefit plans and using data-driven metrics to monitor plan performance.  
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Pharmacy Benefit Strategies

Pharmacy Benefit Strategies thumbnailOur customized Pharmacy Benefit Strategies solutions help you evaluate, select, and contract with a pharmacy benefit manager (PBM) to streamline your pharmacy benefit offerings.
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Risk Management

RiskMngt.jpgSuccessfully navigate healthcare reform with analytic consulting support that uncovers errors and assures compliance with stricter due diligence requirements. We also help you institute programs aimed at improving employee health, reducing lost productivity costs.
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Consumer Advantage for Employers

Consumer Employers thumbnail Engage your employees to become informed healthcare consumers who take greater ownership of their own health and wellness by offering them personalized and relevant healthcare information throughout the year with Consumer Advantage.
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Online Events

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Waste Reduction, Cost Analysis, and Employee Wellness Events
Employee Engagement and Education Events

Products and Solutions

Advantage Suite - Employers

Advantage Suite® integrates information from diverse sources and systems, organizes it to support decision making, and enables easy access to information in a flexible, customized application. Its powerful applications are linked to an integrated warehouse of medical and prescription claims, encounters, eligibility, lab results, authorizations, health risks assessments, and performance measures.

Consumer Solutions for Employers

Engage your employees to become informed healthcare consumers who take greater ownership of their own health and wellness by offering them personalized and relevant healthcare information throughout the year with Consumer Advantage.

Payment Integrity Solutions

Our Audit & Compliance solutions show you how to combat errors and comply with stricter due diligence requirements resulting from healthcare reform legislation by modeling health benefit plans and using data-driven metrics to monitor plan performance.

Risk Management Solutions

Analytics and decision support services provide clear measurement of your program's performance and return-on-investment.