Strategy Focus provides analysis,
evaluation and advisement in benefit
concerns of Funds, Fund Managers, and Trustees.
Plan Design / Due Diligence Processes/ Plan Documents
Containment / Participant Communications / Compliance
Risk Evaluations / Vendor and Product Analyses / Claims Reviews
HOW WE WORK...a few examples:
Whether we analyze prior utilization,
project revenue, calculate risk, act
on your behalf
with vendors, assist
building compliance with new regulations,
prepare fund documents or other
or provide the impartial
sounding board you need...
Our experience supports your fund and your participants.
SPD's must support participants in using the Plan as a family needs,yet clearly specify limits. Readable
yet measured language must enable both of these.
To "be silent" is to await expense and conflict.
NEW YORK HEALTH CARE REFORM ACT:
We advised select clients, from outset, to use an alternate compliance mode,
saving hundreds of thousands of dollars. Peer firms have since asked us to assist their clients.
HIPAA SECURITY RULE:
We did not identify problems and offer
separate proposals to identify solutions. We did complete, cost effective engagements; and designed scalable, Rule compliant
solutions to contain expense and effort.
PATIENT PROTECTION and
AFFORDABLE CARE ACT
We developed, obtained CMS/CCIIO acceptance, and implemented solutions to meet
annual dollar limit mandate, yet contained plan exposure, and at same time averted benefit cuts which would have affected
Clients did not have to use "skinny plans"
nor buy into Minimum Essential Coverage preventive services only template plans. Hospitalization and other therapeutic services
were maintained and enhanced, while exposure was controlled through a unique plan design.