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Medical Management
Readiness Assessment
Name (first & last):
Company:
Phone:
Email:
What percentage of your business is:
Employee Benefits:
Other:
Of your Employee Benefits business, what percentage is:
Self-funded:
Fully-insured:
Of your Fully-insured Employee Benefits Business, what percentage should be:
Considering Self-funded in the next 2 years:
Staying Fully-insured indefinitely:
Of your Self-funded Employee Benefits business, what percentage uses risk containment via:
Level-funded:
Captive:
Coalition:
Traditional Stop-loss:
Of your Self-funded Employee Benefits business, what percentage is administered by:
TPA:
Carrier ASO:
Self-administered:
Of your Self-funded Employee Benefits business, what percentage uses network solutions of:
Carrier PPO:
Generic PPO:
RBP:
EPO:
Direct Contracting:
Other:
On your Self-funded Employee Benefits business, how to you currently obtain Medical Care Management services:
Select One...
Through the claims administrator
Through a carve-out vendor I have selected
I don’t know
Of your Self-funded Employee Benefits business, which of the follwing bolt-on cost-containment strategies do you utilize:
Specialty RX carve out
Bundled Surgical Pricing
Telemedicine
Travel Medicine
Specialty Networks/COEs
Claims Auditing
Direct Primary Care On-site/Near-site Clinics
Concierge Services
Wellness Programs
EAP
Renal Repricing
Claims Data Mining/Predictive Risk Modeling
On a scale of 1 to 10, 1 being “not at all” and 10 being “better than promised during the sales presentation”, how well do you believe each of the following is functioning on your book of business:
Claims Administrator:
Network Solution:
Medical Care Management:
Bolt-on Cost Containment Strategies:
Of your Self-funded Employee Benefits business, what percentage has a PEPY of:
Under $6,500:
$6,500 to $8,300:
$8,300 to $10,800:
$10,800 to $11,034:
over $11,034:
I Don’t Know:
Have you ever carved out the Medical Care Management on your Employee Benefits business?:
Yes
No
Are you looking for innovative product and solution partners to help you grow your business?:
Yes
No
Maybe
Is it important to you to retain your existing book of business by successfully answering the “what have you done for me lately” question?:
Yes
No
Maybe
Would you ever consider carving out Medical Care Management in the future?:
Yes
No
Maybe
Would you be interested in using our On-line Opportunity Estimator Tool to evaluate whether carve-out medical management could be beneficial to that group?:
Yes
No
Maybe
SUBMIT