HR Best Practices

Containing Health costs through Data Mining

  • Increase font size
  • Default font size
  • Decrease font size

ADP

ADP invited Howard Gerver of HR Best Practices to discuss an innovative approach to containing healthcare premium costs.

Eligibility leakage is the problem; eligibility auditing through advanced data mining methods is the solution. Plan sponsors, consultants and brokers have the opportunity to remedy the ituation and foster an environment of data and financial integrity. HR and Finance can continue to demonstrate value-add to the C-suite and to shareholders by auditing claims-based eligibility and bolstering the bottom line.

Download the full whitepaper: On the Case of Healthcare Cost Management: Eligibility and Claims Auditing

 
logo.jpg

NEWSFLASH:  Subrogation specialists “estimate that between 1% and 3% of health-care spending is potentially recoverable to the health plan.” Wall Street Journal, November 20, 2007 Read More (subscription required) - Learn More about Subrogation


Differentiators

  • Change Agents
  • Independence
  • Comprehensiveness
  • Technology
Read more...

Audit Working Spouses

Removing working spouses or adding a spousal surcharge provision provides greater savings than a dependent audit.

Read more...

Customer Quote

Chief Internal Auditor

“HR Best Practices goes beyond the normal practice of manual sampling and testing of claims by using advanced software they have developed to do extensive data mining and analysis of your full population of claims.  The HR Best Practices team is not only expert in the health care field; but the team also has a real passion for healthcare auditing and cost containment”.