Education & Consulting Services
Education
Presentations and training:
- Executive Presentation – Webinar
- Fiduciary Training Program – Online
- Fiduciary Handbook – Digital Book
- Fiduciary Committee Training – Quarterly
- Newsletter Subscription – Monthly
Governance
Committee design:
- Model review
- Authorization and delegation
- Charter
- Processes
Assessment
Current state & gap analysis:
- “Hot Spot” compliance reviews
- Benchmarking cost and quality
- Contract language review
- Medical & Rx claims analysis
Planning
Committee design:
- Model review
- Authorization and delegation
- Charter
- Processes
Implementation
Current state & gap analysis:
- “Hot Spot” compliance reviews
- Benchmarking cost and quality
- Contract language review
- Medical & Rx claims analysis
Sample Experience
Employers
- Benefits Committee – Conducted compliance education and advised on fiduciary issues
- Rx – Evaluated benefits and found transparent pharmacy solutions to reduce generic drug costs by 90%+
- Mental Health – Assessed benefits and digital mental health solutions to address access and cost issues
- Claims Analytics – Deployed AI-based claims tools to identify inaccurate claims and overpayments
Health Tech
- High Value Care – Developed claims analytics tools to identify low and high value specialist practice patterns
- Physician Quality – Deployed analytics to measure physician performance against quality standards
- Specialist Referral – Developed analytics to help employees navigate to the best specialist care
- Navigation – Implemented AI-assisted triage of patient healthcare issues to reduce ER visits by 50%+
Providers
- Digital Health – Worked with hospital executives to develop strategic plans for analytic and digital health solutions
- Risk Predictions – Developed AI-based risk stratification for complex surgical patients
- Brain Check – Developed analytics to assess brain function for athletes and the elderly