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Healthcaresavings acamanaged

AUDIT-DRIVEN HEALTHCARE BENEFITS SAVINGS

This webinar is best suited for attendees with firms greater than 100 employees.
Cost Free
Presentation Length 1.0 hour

Recorded DateJune 12, 2017
CPE:Not available
(archived webinars do not offer CPE credits)
Subject AreaOther
Course LevelBasic
Course Description

Do you have 100% confidence your healthcare claims are being accurately paid? Is your medical plan burdened with the typical 5% - 10% ineligible spouses and children much like other employers? Does your carrier or broker provide you with sufficient spend governance and assurance? Would you like to mitigate fiduciary exposure for the c-suite and the Board?

You'll be glad you attended this webinar to attain the assurance you need. In addition to educating attendees with practical ways to obtain assurance, attendees will learn how to reduce healthcare costs in a transparent, immediate and recurring manner.

Learning Objectives

  • Identify and drop ineligible spouses and children.

  • Reconcile health insurance premiums.

  • Audit medical claims (self-insured plans only).

  • Audit prescription drug claims (self-insured plans only).

  • Audit contractual performance guarantees.

  • Identify and facilitate overpayment recovery opportunities and implement on-going governance programs.

PLEASE NOTE: ARCHIVED WEBINARS DO NOT QUALIFY FOR CPE
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In 2001 Mr. Gerver started HR Best Practices, a data-driven healthcare cost containment, compliance, and auditing company. Since its inception HR Best Practices has saved employers hundreds of millions of dollars by reviewing and analyzing medical, pharmacy, and workers’ compensation claims.

As an agile entrepreneur, Mr. Gerver and the HR Best Practices team created its proprietary Covid-19 Workforce Risk Scoring methodology.  At the core of this unique and valuable risk mitigation approach is the use of Census, Job, and Claims data which is utilized to calculate location-specific risk scores.  The main deliverable is an objective blueprint for reopening and operating largely based on the health of employees by worksite location. 

HR Best Practices is cited as a Gold List member in The Disease Management Purchasing Coalition resource directory. Prior to 2001, he worked for 18 years within the Benefits, HR, and Payroll space for PriceWaterhouseCoopers, Computer Sciences Corporation, and Mercer HR Consulting.

About Our Presenter

Hrbestpractices
We help employers reduce healthcare costs and manage ACA compliance administration through the delivery of our proprietary technology platform. A critical component of our solution is human capital data aggregation and reconciliation, both of which are core competencies of our firm. In fact, since 2001 our core team has been integrating and auditing: human capital and medical/pharmacy claims data on behalf of large employer health plans including: AirFrance, Arch Diocese, Bear Stearns, BMW, DressBarn, EmblemHealth, Evonik, Howard County Public Schools, Medco, MetLife, NJ Transit, NYU Hospital, NYU School of Medicine, ShopRite, Staples, Viacom and Zurich NA among many others. In addition, because of our ability to deliver on-time and within budget, large institutions including Ceridian and a leading Blue Cross Blue Shield carrier as well as numerous insurance brokers throughout America have aligned their organizations with us.