RMP Consulting Services

Looking for ways to reduce the overall costs of your organization’s healthcare program and improve the quality of care for employees? The following RMP Consulting Services are designed to help you identify savings opportunities and implement appropriate cost-containment strategies:

• Claims Data Analysis
• Cost-Containment Strategies
• Strategic Planning for Purchasers
• Risk Management

Claims Data Analysis
RMP can help you find cost savings opportunities by evaluating your organization’s healthcare spending through an analysis of medical claims, pharmacy claims, and other data. Our data analysis focuses on the quality issues that typically result in the greatest negative impact on healthcare costs, including:

• 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.

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.
• Better healthcare choices by 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 approach.

Strategic Planning for Purchasers
RMP will assess your current health benefits program based on a review of activities in recent years. In addition, we will prepare a report that summarizes the program’s strengths, weaknesses, industry trends, and opportunities. Our Strategic Planning services include:

• Reviewing claims and other experience data provided by current insurers, along with premium history.
• Determining the impact of a pharmacy benefits program.
• Assessing employee cost-sharing strategies.
• Evaluating the program’s financial and lifestyle incentives.
• Assessing vendor performance and options.
• Recommending appropriate program improvements.

Risk Management
The principles of risk management are as relevant to an organization’s health benefits as they are to worker’s compensation coverage, professional liability, and other lines of insurance coverage. By applying risk-management principles to your healthcare program, RMP can help your company:

• Understand the nature of a potential loss.
• Assess the size of your group and the predictability of loss.
• Use data prospectively, concurrently, and retrospectively to better manage risk and reduce losses.
• Self-insure the risk where appropriate and purchase insurance when necessary.

Click here to learn more about our Consulting Services for large organizations provided through RMP’s subsidiary PATH.

Find out how you can reduce healthcare costs and improve quality of care.