02:53
Benefits Compliance Solutions is a compliance management firm for employee benefits agencies, offering expert consulting and the BCS Pro platform to enhance business growth, client retention, and compliance efficiency.
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What is BCS?
So, BCS is a consulting firm and software platform that allows agencies to really no longer have to struggle with compliance. We provide that expert consulting that you need, the advanced technology that is inherent with running a benefits practice and really turning compliance into a business differentiator. A way to set yourself apart from the...
Posted May 13, 2025
02:35
Lucidus helps brokers, TPAs, and plan sponsors turn RxDC reporting and gag clause compliance into bottom-line wins, unlocking visibility, avoiding lawsuits, and making clients look like heroes.
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What is Lucidus Compliance?
If you're like most benefit professionals, compliance isn't your favorite part of the job. RxDC reporting, gag clause attestations, mental health parity, all required, all time consuming, and all too easy to treat like a box to check. At Lucidus Compliance, we do more than check the box. We help use compliance as a strategic advantage. For brokers and TPAs, ...
Posted May 8, 2025
02:45
ClaimDOC is the gold standard reference-based pricing solution for employers looking to adequately protect plan assets, support employees with dedicated Member Advocacy, and save 20-30% year one.
Transcript:
What is ClaimDOC?
Yeah, so ClaimDOC is a reference-based pricing organization. We partner with self-funded clients to emphasize access to provider care. We audit all claims over $2,000, and we're also in the business of building long-term partnerships with our provider partners. So if you look at our footprint by the numbers here, we process claims in all 50 states. We've processed 1...
Posted January 23, 2025
02:51
US Beacon finds ineligible charges in 99% of medical claims we review. Our mission is rooted in a belief that ethical billing practices are essential to fostering trust and delivering quality care.
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What is US Beacon?
US Beacon is a medical cost containment company that specializes in reducing medical bills by 30 to 40 percent for in-network, and 70 percent for out-of-network. US Beacon has been reviewing and negotiating bills since 1995. Many plans don't understand they are overpaying for their health care. Premiums don't need to keep increasing to cover the high cost of m...
Posted July 31, 2024
02:28
As employees are offered COBRA, BeneStream helps them understand their options for low cost coverage via Medicaid or ACA plans. This eases the termination transition, and lowers company risk and cost.
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What is COBRA Avoidance with BeneStream?
Our COBRA avoidance program is for companies who are experiencing a reduction in force. We help their impacted employees get free or low-cost public health insurance as an alternative to the very costly COBRA.
How is COBRA Avoidance with BeneStream different?
What makes us unique is that we are extremely hands-on with the individuals...
Posted July 5, 2024
02:01
Alef Health: Pioneering savings in healthcare. Our holistic methods benefit a wide range of partners, cutting costs effectively.
Transcription:
What is Alef Health?
Alef Health is the one-stop cost containment solution in the self-funded insurance space that specializes in reducing expenses without compromising the quality of care that a patient receives. We specialize in out-of-network negotiations, claims integrity, subrogation, overpayment recovery, medical management, and much more. Our out-of-network negotiations team works with out-of-network providers to ensure successful negotiat...
Posted June 25, 2024
02:51
4C is the undisputed leader in providing independent financial oversight, control, and accountability for large states and corporations with self-insured plans.
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What is 4C Digital Health?
4C Digital Health is a transparency partner that enables self-funded medical plan sponsors to own and understand their medical plans data. Our mission is to bring access, oversight and opportunity to our clients as they collaborate with benefits consultants, point solutions, and claims administrators. Plan sponsors have fiduciary duties to their members and 4C helps plan sponsors make tho...
Posted April 12, 2024
02:24
aequum protects plan participants against unreasonable out-of-network charges and balance billings by medical providers and unfair collection practices.
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What is aequum?
Aequum means, what is fair or just, and our mission is to level the playing field in medical billing, shifting back power to health plans and their participants. Specifically, we provide advocacy services to self-funded health plans and their plan participants, including legal defense of medical billing claims through a partnership with a national law firm. We combine those advocacy services with our propri...
Posted April 5, 2024
02:05
HST is the nation’s largest VDHP vendor focusing on fair reimbursements and creative strategies to reduce medical facility spend by up to 35%
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What is HST, A MultiPlan Company?
Thank you. HST is the largest reference-based pricing company in the nation. We call it value-driven health plans. Our unique process focuses on creating fair market pricing and convenience for both employers and employee patients, as well as creating equitable payments to facilities. We are owned by MultiPlan, and we represent over 1.2 million reference-based pricing members. We have a 99% average a...
Posted January 8, 2024
02:45
We improve patient lives through exceptional customer service by knowledgeable staff who truly care. Differentiated by a network replacement option, via upfront agreements and strategic negotiations.
Transcription:
What is Hines?
Thank you so much, Chris, for the opportunity today. Hines started out 36 years ago. Judy Hines founded the organization with the goal of keeping people healthy, ultimately. Since then, in 36 years, we've evolved a little bit. Do everything from predictive analytics on the front end, sit down, build out custom programs around chronic condition management, welln...
Posted October 17, 2023
02:37
A user-friendly interface that simplifies the fiduciary process on health care plans into a series of manageable questions & tasks to help to improve benefits, reduce costs, & avoid fines & lawsuits.
Transcription:
What is Fiduciary In A Box?
Well, first, it's important to understand that there was a new law, the CAA, 2021, that stepped up employers' fiduciary duties on their healthcare plan. Now, employers may be familiar with this process since they've been doing the fiduciary process on their retirement program. However, if they don't act in a prudent fiduciary manner on t...
Posted October 15, 2023
02:35
We are a TPA, repricer and Stop Loss insurance company all in one offering the only comprehensive RBP solution on the market.
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What is Homestead Smart Health Plans?
We are a third-party administrator, a claim repricer, and a stop-loss insurance company all in one.
How is Homestead Smart Health Plans different?
I think five things make us different, and that's the integration of the three components that I mentioned earlier. When there are fewer cracks for things to fall through, fewer things fall through the cracks. Two, I'd say we're a co-fiduciary. Plan sponsors are now...
Posted October 6, 2023
02:22
HealthcareReporting.com helps Plan Sponsors and Vendors meet Fiduciary Duties of monitoring + controlling health plan spending while remaining compliant in an increasingly complicated environment.
Transcription:
What is Healthcare Reporting?
At our core, Healthcare Reporting is a company that helps plan sponsors to meet their fiduciary duties. And a plan sponsor has, of course, a fiduciary duty to monitor how the plan dollars are being spent. And of course, they also have to make sure that they're compliant with all of the various benefit regulations and we help make that happen. We have...
Posted October 5, 2023
02:51
Quizzify Classic: Imagine Jeopardy-meets-Health Education Quizzify2Go: (1) A "self-navigation" tool covering 196 doctor visits (2) RBP-meets-ER visits/emergency admissions. Don't negotiate. Dictate!
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What is Quizzify?
Well, Chris, if you can imagine, Jeopardy meets health education meets Comedy Central. That's what we're all about. We teach employees things about healthcare they had no idea about, and yet they can apply right away. This is a perfect example. Cavities, filling cavities is the number one procedure in the United States, yet it turns out most don't have to be ...
Posted September 11, 2023
02:39
Reference Based Pricing and Payment Integrity
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What is 6 Degrees Health?
Thanks, Chris. 6 Degrees Health is a cost containment company with a mission to help employers and health plans take back control of their medical claim costs. This is accomplished through a combination of clinical review and structured provider payments tied to objective benchmarks like provider costs and Medicare reimbursement. With 6 Degrees' transparency data, employers are realizing that the status quo, traditional networks are binding them to contracts that permit unreasonable provider billing pr...
Posted June 16, 2023
02:52
At Amwins Health and Employee Benefits Consulting ,our focus is to deliver cost-saving strategies and solutions via PBM Audits, Medical Claims Review and Dependent eligibility audits.
Transcription:
What is Amwins Health and Employee Benefits Consulting?
Thank you, Chris. We're a healthcare consulting firm that help businesses unlock the true financial value of their employee's health benefits plan. So why does this matter? Right? Healthcare costs are rising, they continue to impact employer's financial bottom line, employers assume health payers, PBMs and administrators are providing co...
Posted May 17, 2023
02:53
Upland Advocacy is a financial assistance support company addressing the challenge of medical debt running rampant in our country today.
Transcription:
What is Upland Advocacy?
Upland Advocacy is a financial assistance support company addressing the challenge of medical debt running rampant in our country today. Even those with a health plan are not able to afford their out-of-pocket costs and high deductibles. In addition, the stress of medical debt is driving behavior where one in three people are delaying medical care as they don't believe they can afford their portion of the bill. Up...
Posted April 28, 2023
02:59
Imagine health education-meets-Jeopardy-meets-Comedy Central for monthly quizzes between visits, plus an app to minimize the costs of ER visits and maximize the value of doctor visits.
Transcription:
What is Quizzify 2 Go?
Quizzify2Go is the cousin of Quizzify. If Quizzify is what you play in order to learn about healthcare in the privacy of your own home, Quizzify2Go is what you take to emergency medical visits and scheduled medical visits. Our ER Prevent Consent will minimize the cost of emergency visits, while our 190 Doctor Visit PrepKits will maximize the value of scheduled doctor v...
Posted February 28, 2023
01:49
Payer Compass is one of the healthcare industry’s premier innovators in cost control.
Transcription:
What is Payer Compass?
Hi Chris, thanks for having me. Payer Compass is a cost containment company. It's no surprise to anybody watching this video today that healthcare costs are out of control. That affects our shareholder value. That increases the cost for employees and its the second highest cost for employers. So what we're doing today is unsustainable. Payer Compass answers the call to provide free market solutions to our customers and dramatically reduce the cost of healthcare toda...
Posted November 21, 2022
02:49
We simplify the complexities of self-insurance by leveraging clinical and member advocacy and expertise in claim reimbursement, payment integrity, and billing accuracy. Data-driven enabling true transparency for smarter, better, faster healthcare.
Transcription:
What is Valenz?
Valenz is a transparent data enabled healthcare ecosystem solution focused on impacting the medical cost of the health plan. Our brand promises to engage early and often in the claim management process, because Chris, as we all know, 5%-15% of claims are gonna drive over 70% of plan year spend. Through a member-ce...
Posted August 10, 2022
02:40
Savings for self-insured employers & their employees! Claims audits identify & return overpayments.
Transcription:
What is Healthcare Horizons?
Healthcare Horizons has one focus, to audit the paid medical claims of self-insured employers' health plans. Our top priority is protect our client's financial interest by ensuring that their health plan claims are paid accurately. Many large employers self-insure their employee's medical expenses in order to contain healthcare costs. And they have a third party administrator, or TPA, manage the claims processing. However, one of the unin...
Posted August 4, 2022
