HealthKeys Information

HealthKeys has developed “Health Claims Management”, a new comprehensive product for Benefit Advisors, to help their self-funded clients reduce health claims cost, without changing claim payors or shifting cost to employees. Through our unique Service Platform, we coordinate claim avoidance tactics (Disease Management and Wellness) with a number of hard dollar savings tactics, to minimize claims cost. Our Service Platform, which is highly configurable, includes the following: • Data Analytics/Predictive Modeling • Communications Portal • Incentive Management • Nurse Navigators The advantages realized from our platform are; • A single location for communication and incentive management, allows us to lead employees directly to the products that will provide the most benefit to themselves and their employer. • We include products currently offered by the employer which may be underutilized, as well as new products such as Direct Contracting and Pharmacy Tourism. • Combining disease management and wellness into a single claim avoidance product increases our reach and engagement, while forming the foundation of our product. • Pass the CFO eye test; all savings are measured through our data analytics tool, using the employers claims data. Health Claims Management is a comprehensive strategy that addresses the needs of the primary stakeholders; reduce claim costs for the employer, and a reduction in out of pocket expenses for the employee.