With the escalating costs of healthcare it is critical that accurate assessments are made when calculating the exposure of future medical care. Medical Cost Projections are a key tool in claims management strategy, especially when clinically based.
EK Health offers Medical Cost Projections as a service designed to assist our clients with settlement strategy or aggressive reserving practices.
Key features of our Medical Cost Projections service:
Fast turnaround time - Cost projections completed in less than 10-business days
(Rush service in 5-business days or less)
Utilize Evidence-Based Medicine Guidelines with ability to incorporate medical treatment/medication pricing based on specific client/network agreements
Customizable reports/formatting based on client needs
Ability to complete Medical Cost Projections in
Ability to utilize
Pharmacy Benefit Manager pricing for medication costs
Collaborate through settlement strategy discussions to formulate the best solutions for addressing appropriate future medical care
Integration of Utilization Review/Pre-Authorization decisions and Case Management strategies where applicable