Services
We Are Here To…
assist employers, health plans and plan fiduciaries navigate the numerous federal and state laws governing the delivery of health care benefits. This includes drafting necessary plan documents and plan communications, assessing fiduciary obligations, negotiating agreements, designing and implementing medical cost containment programs and developing HIPAA, ERISA and general risk management policies.
Our Group Health Plan Experience is Extensive and Includes:
01 — Advising group health plans on the design and implementation of cost-containment programs
Assisting plan fiduciaries throughout the vendor RFP process
Negotiating contracts between group health plans and cost-containment vendors
Assisting group health plans develop payment policies
Auditing client-facing vendor systems to assure legal compliance
Assisting group health plan administrators work through system integrations
02 — Advising group health plans on best practices in plan documentation and plan administration
Reviewing plan documents to assure legal compliance
Reviewing plan documents and advising on revisions to support a robust cost-containment program
Assisting plan fiduciaries develop plan participant communications/notices
03 — Representing group health plans and their plan participants in dispute resolution/litigation
Representing group health plans in contract disputes
Representing group health plans in medical service provider reimbursement disputes
Representing plan participants and covered dependents in balance billing disputes