Home Contact Us Site Map Terms Site Search  Client Login Join a Meeting

Solutions » Payers » Executive Team Executive Team Regional and mid-size health plans work in a highly competitive and rapidly changing environment that requires your executive and finance teams to regularly make strategic decisions that impact the financial health of your company. Good decisions are contingent on good information, and often your teams find they are at a disadvantage compared to the larger competitors who have more sophisticated information systems to provide the necessary data. The Solution Salem Health Solutions levels the playing field and helps Executive teams access a financial snapshot of the current and past business, develop a vision for future direction and monitor the progress of business. Dashboards and gauges provide an effective way to monitor progress and take proactive action to keep programs sound and profitable. » Management Reports - SHS tools help the plan become a more efficient and effective underwriter of medical services through better risk selection, risk aggregation and risk management. This is accomplished by understanding the disease burden of the overall population and faster, more accurate prediction of future medical costs. Additionally, SHS can deliver a clear picture of cost and utilization trends in all aspects of the business to set rates, help determine the optimal thresholds for reinsurance and analyze the performance of providers, vendors, and medical management initiatives. » Employer Group Reporting - SHS tools help the plan know which groups are “good business” based upon reliable experience information and predicted medical costs. This enables the plan to prepare effectively for key employer client negotiations. » Provider Profiling/Report Cards - SHS tools empower the plan to define the performance of networks/doctors based upon discrete cost and quality metrics. Plans can then develop network tiers and pay for performance initiatives based on those metrics. » Medical Reports - Using SHS tools, plans can predict the health of the population and then identify and stratify the areas of focus that will have the most impact. Plans can become more informed buyers of outsourced services and monitor results of those services. Plans can also measure the results of medical management programs, quality improvement initiatives and utilization management policies » To-Do Lists - SHS tools enable the plan to understand their business options and expected ROI in order to map the best course of action for the plan based on its goals.

e-mail page to friend

Home | Solutions | Terms | HIPAA Statement | Contact Us | Sitemap

© 2006 Salem Health Solutions, Inc. All rights reserved. Website Design: AxxiemCorp