The Seamless Health Indemnity Plan delivers unmatched cost control and transparency to employers.
Immediate Impact for Employers
There’s a better way to take care of your employees and your business. With Seamless, you’ll benefit from unmatched cost control and transparency, unlike traditional health plans. Here is the potential impact for your business:a
35% Reduction in Healthcare Costs
Payroll Tax Savings
Improved Employee Retention + Employee Satisfaction
Streamlined Benefits Administration
We Contain Your Expenses
Healthcare expenses are stifling. As benefits move from a perk of employment to a burden for employers across the nation, Seamless Health has built an integrated nationwide direct primary care membership that is 40% below the cost of traditional DPC practices while also shedding the geographical limitations of the traditional DPC practice.
We know as healthcare expenses continue to rise, employers are trying to find solutions that work and prove a compelling return on their investment. Seamless Health is in your corner. We protect your bottom line by navigating every one of your employees through their healthcare membership, directing all primary, chronic and urgent care matters through our membership, diverting them away from your insurance plan, through our unlimited services.
Here are 12 Key Features That Will Improve Your Ability to Provide World-Class Healthcare to Your Employees:
Funding
Options
Seamless Health offers a variety of funding options within our 3 plan designs.
Through this practice, we protect your bottom line from the exorbitant costs of shock claims by detecting, treating, and managing acute, urgent, and chronic illnesses before they become serious.
Claims
Administration
From receipt and eligibility to negotiation and payment, we handle the entire claims administration process. Completely centralized, all claims, medical management, and billing are managed through Seamless, allowing us to provide you with flexible and quick service with a personalized touch.
FSA and HRA Administration
Nobody knows more about saving benefits dollars than Seamless Health. We help you develop and administer Flexible Spending Accounts and Health Reimbursement Accounts – tax-effective choices for managing health-related expenses to reduce both employer and member healthcare expenses.
Utilization Review
Seamless Health’s utilization review program combines the expertise of registered nurse reviewers to ensure you are optimizing your benefits plan. Seamless Health works with board-certified medical directors and practicing physicians to help direct patients and providers toward the most cost-effective, quality-driven treatment available. Our utilization review services use established national medical guidelines to evaluate the medical necessity for hospitalizations, outpatient services, and appropriateness of overall treatment plans.
Utilization Management
Our utilization management team identifies high-risk/high-dollar conditions and communicates them to the team so the appropriate actions can be taken to minimize the risk and maximize the benefit to the plan and plan member.
Seamless Health provides a variety of administrative services including Clinical expertise, appeals, external review, organization facilitation, pharmacy coordination, post-claim medical review, and review for stop-loss.
Disease Management
Disease management teaches patients how to manage a chronic disease. Seamless Health engages members in their own health management through biometric screenings that help identify members who are at high risk for chronic or serious illnesses. Members learn how to take care of their specific health concerns and learn to avoid potential or worsening problems with their health.
Case Management
Case management is a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy. Seamless Health offers options and services to meet individual and family health needs through communication and available resources that promote quality, cost-effective outcomes. This applies to both medical and behavioral health cases.
Specialty Case Management
We offer custom features so employers and employees can easily navigate and maximize services while containing costs.
Organ Transplant Program*
Full coverage for catastrophic costs associated with organ transplants
*Not available in all states.
Benefit Admin System
Access to plan information, data, and reporting is crucial to effective administration – so take advantage of our Benefits Administration System. This proprietary, secure database provides convenient online access to all functions, including administration, reporting, and COBRA management. It even offers opportunities for employees to self-administer the most time-consuming tasks, like requesting an ID card or reviewing claim history and payment EOB’s. This keeps human resources interactions to a minimum.
Convenient Client Portals
All data is conveniently accessible through a pair of portals, which we designed to help you control costs. Clients access our portals online at any time and from any device. Through them, you can securely store, track, and manage information and utilize a range of services and functions so you can manage your plans as efficiently and cost-effectively as possible.
Detailed Reporting Systems
Staying well-informed is essential to effective healthcare and benefits decision-making. At Seamless Health, we’re committed to supporting your choices for superior outcomes and cost avoidance. Our team constantly monitors and identifies the latest trends in healthcare spending, taking a macro perspective while addressing areas for member-level improvement.
Cutting Edge Technology
If you’re seeking a cost-effective solution to benefits management that will also save you time, partner with Seamless Health. Our state-of-the-art client interface and technology ensure convenient access to the functions you require for efficient review and management, while your organization as a whole reaps the benefits of our innovative solutions. To learn more, contact us today.