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Employer Health Benefits

Specializing in Employer Health Benefit 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 are followed for every client, large or small.

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.

The tools listed below describe these six steps in further detail.

Health Plan Design Actuarial Review Member Needs Assessment	HealthCare Networks Increase in-network access Negotiate deeper discounts Negotiate non-network claims
Risk Management Stop loss coverage Reinsurance	Medical Management
Plan Administration Claims adjudication Coordination of Benefits Subrogation Vendor Management Compliance COBRA ERISA HIPAA Financial Reporting	Patient Management Prevention programs Disease Management Family Health Management Wellness Programs Corporate Medical Director
Participant Services Telephone Support Mailings and Meetings Plan Information Web-based plan information access	Provider Management Utilization Management Peer Review Medication Reviews Hospital Services Network Medical Director

Want more information?

If you would like to learn more about our program, please enter your contact information in the form below. You can also go to our wellness program website to view information about our wellness offerings. The contact information you give us will only be used to answer your inquiry.

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