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Insurance Brokerage
RMP will provide you with a customized evaluation of your employee
health benefit needs, including:
- Determine optimal benefits design for your company.
- Evaluate employee cost-sharing options.
- Recommend strategic alternatives (e.g., health savings accounts).
- Consider alternate insurance carriers/vendors.
RMP is committed to working with both employers and employees to
heighten their awareness of the ever-changing health insurance environment.
We will provide your company with certain advantages that are generally
available only to larger employers, such as educational information
and a quarterly article/newsletter for employees that addresses
healthcare quality and patient safety issues.
RMP is there to answer your questions about employee benefits and
to serve your needs.
Claims Data Analysis
"If you can't measure it, you can't manage it." RMP can evaluate an organization's healthcare spending through an analysis of medical
claims, pharmacy claims, and other data. The most costly quality
problems, as cited in the MBGH
report:
- Drug misuse
- Overuse of antibiotics
- Overuse of inpatient care
- Preventable hospital-acquired infections
- Diabetes care
- Treatment of depression
- Inadequate care after a heart attack
- Underuse of influenza and pneumococcal vaccinations
- Asthma care
- Congestive heart failure
Our data analysis activities focus on these areas, in addition
to others which may exhibit cost savings opportunities for your
organization.
Cost Containment Strategies
Once opportunities for cost savings have been identified, RMP
will help your organization implement appropriate cost containment
strategies, including:
- Improved disease management, utilization management, and case
management.
- Addressing hospital patient safety issues using The Leapfrog
Group purchasing principles.
- Greater adherence to evidence-based best practice care.
- Patient empowerment through information and decision-making
tools.
- Pay-for-quality or pay-for-performance strategies.
 Strategic
Planning for Purchasers
RMP will assess your current health benefits program based on
a review of activities in recent years, and prepare a report of
the program's strengths, weaknesses, industry trends, and opportunities
to increase value. In doing so, RMP will:
- Review claims and other experience data provided by current
insurers, along with premium history.
- Consider the impact of the pharmacy benefits program (a major
cost driver).
- Assess employee cost sharing strategies.
- Evaluate the program's financial and lifestyle incentives.
- Assess vendor performance and options.
- Recommend appropriate program improvements.
Risk Management
Principles of risk management are equally appropriate to a company's
healthcare spending as it is to worker's compensation coverage,
professional liability, and other lines of coverage. RMP can assist
your company to understand the nature of a potential loss, assess
the size of your group and the predictability of loss, self-insure
the risk where appropriate, and purchase insurance when necessary.
Data can be used prospectively, concurrently, and retrospectively
to better manage risk and reduce losses.
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