Payors Payors Rising health care costs continue to apply pressure to the bottom lines of the payors who ultimately bear responsibility for funding those costs. Some employers are no longer able to offer health benefits to their employees. A few have defaulted on their retiree health care obligations. Others are exploring a transition to consumer-driven health plans and other arrangements that shift much of the responsibility for health care purchasing to employees. However, the competition for an increasingly scarce labor force limits the ability of employers to shift too many costs to employees or unduly limit their access to care. Employers and health plans seek creative ways to provide employees with high quality health care, while still maintaining financial viability and meeting their obligations to other stakeholders.
MED3OOO offers third party administration solutions to employers and health plans, providing efficient administrative services and data management solutions. We also work proactively with payors to implement a comprehensive program of population health management, seeking to ensure that each covered person receives health care services appropriate to his or her particular situation. By anticipating future health needs through sophisticated predictive modeling techniques, we help our clients avoid catastrophic illnesses in their managed population—providing tangible benefits to both employers and employees. |
