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Sales, Marketing and Account Management

Health plans not only need good products, they must demonstrate real value. They must prove that they are a good partner for potential clients and are committed to improving health and reducing costs. The services provided by Salem Health Solutions helps Sales, Marketing and Account Management teams retain business and capture new clients by giving you the information you need to provide attractive, competitive products and confidently prove your case to clients.

SHS provides the information needed to explain changes in premium values and also the tools to provide a customized reporting solution, document program successes and provide guidance on what can be done to reduce future care costs.

The Solution

Employer Group Reporting / To-Do Lists
– SHS helps plans to provide insight into employer experience and provide guidance to reduce future costs. Intuitive tools such as dashboards and scorecards are used to clearly highlight exceptions using a red-light/green-light metaphor.

SHS’ Employer Group Reporting and To-Do Lists enable Sales and Marketing teams to offer their clients highly customized recommendations to the best course of action for the employer to reduce health care costs and improve health. This is accomplished through:

» The ability to explain cost increases by demonstrating, through the analysis of past experience coupled with predictive modeling, how member behavior and health status influences future health care costs.
» Reporting to see where the money went, the components of trend and how the employer’s experience compares to peer groups.
» Evidence-Based Medicine Guideline analyses to determine how to improve health through modifications in member and provider behavior.
» To-Do lists recommending appropriate programs based on the specific health conditions of the population, with the expected ROI of those interventions and measurement of program success after implementation.
» Documentation of plan program successes and cost-efficiencies of health improvement programs.

Provider Profiling / Report Cards
– SHS helps plans prove the quality of their provider networks, localize national networks and optimize provider panels to fit employer needs.
» Customize the local look-and-feel of national networks - use SHS reports to demonstrate a client’s specific disease burden and how the plan’s network coverage meets their needs
» Demonstrate to clients that the plan is committed to delivering the highest quality, local network possible.

Management Reporting -SHS helps plans develop products based on the actual experience of their book of business.
» Develop and evolve an attractive set of products by reviewing the health of the entire spectrum of members, not just the major claimants. This is especially helpful for developing high-deductible, consumer-driven products.

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