OUR Three-Tiered Approach
The goal of effective plan management is to control cost and promote health. At Modi Benefits, we have found that the right combination of plan design, health management strategies, in conjunction with strong communications and senior management support, can help organizations maintain below average cost increases. To this end, we use a three-tiered approach to create effective health strategy and provide metric driven decision making
Population Health Management
- Wellness & health promotion
- Disease management High-cost claim management
- Population illness analysis
- Incentives for healthy behavior
Vendor Management
- Aggressive procurement
- Bidding & contracting
- Administrative interface
- Funding arrangements
- Performance standards
- Audits
- Renewal process management
Plan Design / Administration
- Administrative support
- Effective plan rules
- Choice network access
- High-performance networks & incentives
- Up-to-date limits & exclusions
- Legislative & regulatory compliance
- Funding methodology