Simply put, managed care is a way to help reduce healthcare costs overall by ensuring that quality healthcare is delivered in an economical fashion. You and your healthcare provider share in economic incentives to encourage employees to use the prescribed processes as outlined in your company’s program (such as seeing an in-network physician; obtaining a referral to a specialist from your primary care physician; choosing generic over brand-name drugs; obtaining a preauthorization for a hospital stay) so as to maximize the cost savings to the extent possible. When it comes to managed care, we work to ensure that employers and employees understand how to work within the managed care framework to get the most value out of every benefit available in the plan.
- Network access (Preferred Provider Organization, Point of Service)
- Case management
- Utilization review
- Disease management (optimal care)
- Preferred Prescription Program
- Priority maternity care
Count on receiving information that’s accurate, on budget, on time, every time.
When applied to the healthcare plan that Employee Benefit Solutions recommends for your organization, this array of quality services helps you achieve maximum results and cost efficiency. Call us at (203) 563-0885 to learn more about the personal attention we offer with everything we do for you.