Health Plan Decision Support & Medical Cost Savings Analysis

The first guest on today's program is Tim O'Shea, CEO of Clearview Logix. Our experience tells us and studies confirm that many individuals pick the “wrong” health plan, i.e. the plan that does not cover the services they will likely need for the lowest total cost, often costing them hundreds or even thousands of dollars annually. People need help, because health plans are complex. Consumers increasingly expect decision support for major purchases. Our goal is to give them that guidance for health insurance – quickly and effectively. One of the critical elements in consumerism is health plan selection decision-support, which can be implemented easily, quickly and inexpensively without disrupting current platforms or administrative processes – a potentially valuable capability for midsized employers looking to push down the consumer-driven path.

The second guest on today's show is Bill Hennessey, M.D., CEO of Pratter, America's medical cost savings company. By being independent of all health insurance companies, Pratter is able to use de-identified self-insured cost data to help deliver affordable care options to employees. Pratter’s cost savings analysis is used to determine which self-insured companies can benefit the most from its service and quantifies an ROI that can even be used to generate a money back guarantee proposal. All cost data gathered becomes instantly searchable on pratter.us by zip code – hospital charges and insurance company payments – for the first time ever. Catch this interview at 11:30 a.m. (ET) to learn more about Pratter's unique, grassroots solution.