A Results-Driven Approach that Helps Minimize Costs

Increased government regulations, increased health care consumption, and costly new medical technologies continue to fuel rising medical care costs. At BPA, our results-driven approach helps clients minimize costs even though the price of medical treatment continues to rise.

To do this, we offer the following cost management strategies with a proactive emphasis on overall health management…

Hospital Pre-certification

Used to evaluate each member’s treatment plan and their need for inpatient or outpatient care. Our program combines medical expertise with nationally recognized criteria and treatment guidelines to determine the most appropriate course of medical treatment.

Health Management

Combines a wide range of programs to review and analyze the overall health status of your covered group. From initial screenings to continued health education, health management can have a positive impact not only on the health perceptions and lifestyles of employees but also on your company’s bottom line. The goal is to identify and address potential serious health risks before they become chronic illnesses that require ongoing treatment, hospitalization, prescription medications, or surgery.

Disease Management

An integrated approach designed to lower the cost of care for chronic illnesses such as diabetes, high blood pressure, or hypertension. We encourage disease management in order to minimize the complications associated with chronic conditions and to help reduce future expenses. We also work with our clients to educate employees and their dependents on lifestyle modification. Results are achieved with the help of counselors, physicians, nurses, and educational resources such as disease-specific websites, newsletters, and more.

Large-case Management

Provided to improve the quality of care and control costs during inpatient stays through appropriate discharge planning. Alternative treatment options are considered and savings negotiations are conducted for some care. Since large-case management is typically associated with serious health conditions, the opportunity for savings can be significant.

For more information on our integrated cost management services, or on how these strategies can help your organization control healthcare costs, simply call us or send us an e-mail today.