Whether you’re a TPA, MGU, broker, or carrier, we know your specific pain points—and we’ve designed a program to help you address them. With an innovative approach to renal dialysis and other high-cost claims, SCM provides a complete risk solution that makes sense for you while maximizing savings.
Simplicity
Easy integration with your current processes
Cost
No startup fee and no cost until utilization for a solution that completely pays for itself
Competitive Edge
Industry-exclusive case rate puts you ahead of other TPAs in the marketplace
Retention
Unmatched, sustainable savings that keep your groups renewing year after year
We understand the struggle to keep your groups happy and satisfied. Without SCM, you may be exposing your groups to increased costs, thus risking group retention. Our solution ensures that you get maximized savings—not the typical savings that network discounts offer, which are based on completely arbitrary charges. At SCM, we are not a function of billed charges; we work with the actual cost. Plus, our self-sustaining solution completely pays for itself—and we only get paid when we create savings for you.
Profitability
Normalization of high-cost claims to save you money and increase your profit margins
Exposure
Mitigation of risk exposure plus enhanced risk protection to keep you operating smoothly and effectively
Integration
Plug-and-go, streamlined solution that won’t disrupt your current processes and procedures
Persistency
Key to sustainability and success, our solution puts you in a position to increase persistency
We understand the importance of normalizing cost for your groups, and creating predictability for both underwriting and so that you can price things aggressively—eliminating unnecessary guesswork. Our solution increases both persistency amongst your block of business and your close ratio by integrating new services that minimize potential exposure and are no cost to set up. Plus, our non-labor-intensive process is streamlined, keeping down processing times, increasing predictability and ultimately empowering your MGU for both new and renewing groups.
Position
With cost-effective stop-loss and predictable claims costs, your clients will be positioned for normalized claim costs year after year.
Collaboration
Flexible enough to facilitate multiple network partnerships without sacrificing quality
Implementation
Easy-to-implement solution—one that doesn’t require a lot of heavy lifting for either employers or brokers
Protection
Protection from both high-dollar claims, billed charges inflation and other potentially risky solutions that permeate the marketplace
The question is not if a potentially high-cost dialysis claim will occur—it is when it will occur. With us on your clients’ side, we help protect them and put them in the best possible position. And with us on your side, we position you as an innovative leader with an approach to dialysis claims that your clients have never seen before:
- We review and supply any necessary changes to the plan language
- We are agnostic to whom your clients work with
- We are an administrative, pay-as-you-go solution, not an additional PEPM cost to worry about
Plus, with us, employer groups and their members have never had to move from their current physician or facility. And with no set-up fee or cost until utilization, SCM is the smartest move you can make to combat high-cost claims.
Collaboration
Flexible enough to facilitate multiple partnerships without sacrificing quality
Simplicity
Easy implementation for both new and renewing groups to ensure that all the necessary components come together perfectly
Profitability
Normalization of potentially high-cost claims to save you money and increase your profit margins
Predictability
Solutions based on actual cost instead of arbitrary billed charges for ultimate predictability
We understand the importance of making sure all your partners can work together seamlessly while increasing both your profitability and predictability. Our integrative solution lets you work collectively with your network partners along with us on the most expensive claims, such as those for dialysis. Plus, we make it simple—it’s easy to use and easy to integrate for both new and renewing groups.
