Employee Health Benefits Management

American HealthCare Group is an independently owned benefit management company. As such, we are able to offer our services without any ties to specific insurance companies or other parties that may influence our benefit plan designs or benefits administration.

The following six steps help AHG get a feel for your company's needs:

Interview the business owner and human resource department to determine the best coverage for the employees and their dependents.
Gather data to obtain quotes from carriers.
Present findings to business owner and human resource department.
Advise on plan options.
Complete paperwork to obtain desired effective date.
Educate employees on plan nuances, network providers and out-of-pocket costs.

Putting the Plan to Action

After we assess your business needs, we use the following to carry out an effective management plan:

Health Plan Design

Actuarial Review
Member Needs Assessment

Plan Administration

Claims adjudication
- Coordination of Benefits
- Subrogation
Vendor Management
Compliance
- COBRA
- ERISA
- HIPAA
Financial Reporting

Participant Services

Telephone Support
Mailings and Meetings
Plan Information
Web-based plan information access

HealthCare Networks

Increase in-network access
Negotiate deeper discounts
Negotiate non-network claims

Risk Management

Stop loss coverage
Reinsurance

Medical Management

Patient Management
- Prevention programs
- Disease Management
- Family Health Management
- Wellness Programs
- Corporate Medical Director
Provider Management
- Utilization Management
- Peer Review
- Medication Reviews
- Hospital Services
- Network Medical Director

Pathways to SmartCare: Our Own Wellness Program

American HealthCare Group, Inc. created a corporate wellness program to provide employers with an easy to implement lifestyle changing program.

Visit our corporate wellness program web site to learn more: Pathways to SmartCare

Contact Us for More Information

Fill out the form below or visit our Contact Page for specific contact information.

Your Name:
Company Name:
Street Address:
City:
State & Zip:
Contact Phone:	x
Contact Email:

Comments or Questions?: