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When you invest in an employee benefits program, you should be able to expect a return on that investment. What sets Rutherfoord apart is the value added services and unique expertise we’ve assembled to save our clients money and make them even more successful.
Our solutions include:
- Provider Network Discount Analysis
- Data Mining
- MCO Evaluation using ClaimsQuest
- D2Explorer
- RX Quest
- Population Health Management
- Clinical Underwriting Audits
- Wellness Director Services
- Pharmacy Director Services
- WellFit Advantage
Provider Network Discount Analysis - Shopping for the right program for your employees can be difficult, frustrating and haphazard. You can request information on a potential vendor's underlying cost structure, but often they are unable to provide specifics because of contract limitations. Or, you can get the answers you need and then you choose a program that ends up costing you more than planned or budgeted for.
We have a solution that has saved companies like Georgia Pacific, Coke and Mohawk as much as $1,000 per employee per year! Contact us to find out more.
Data Mining
At Rutherfoord we go beyond an annual market review. We use technology and the services of an on-staff Medical Director to analyze your claims from a clinical perspective. Our Medical Director develops a customized strategy for lowering the amount spent on providing health benefits.
MCO Evaluation using ClaimsQuest
We understand the challenge associated with the accuracy and dependability of MCO Evaluations. Our solution is ClaimsQuest—it calculates discounts based on historic claims data using an extensive database of actual costing experience. The result is a highly accurate methodology for re-pricing claims that has been shown to be within 1% of actual experience for large employers.
Learn more about how ClaimsQuest can give you a more accurate comparison of your future costs—allowing you to choose your next MCO with confidence. Contact Us.
D2Explorer
Using technology, Rutherfoord evaluates your claims history, giving you tools to control and reduce the cost of your plan. D2Explorer will benchmark your data against a robust database using advanced query tools which point out areas that can significantly impact your overall costs. Our Medical Director, Dr. Rearick, uses the reports to recommend specific actions that should be taken to lower your expenses.
Experience how D2Explorer and Dr. Rearick can save your organization. Contact Us .
RX Quest - Choosing Pharmacy Benefit Management (PBM) services by looking at commonly quoted fees, discounts, and rebates shows you only part of the picture, which explains why many organizations pay more for prescription benefits than they need to.
RxQuest compares different PBM programs using all the variables that affect your prescription program costs, such as drug mix both now and projected into the future. With this more comprehensive approach, you can be confident that you’ve found the best pricing for your prescription program. Contact Us to see an example of the savings one client experienced through RxQuest.
Population Health Management
Investing in employee benefits has traditionally been a way to attract and retain the best talent for your organization. At Rutherfoord we go beyond the traditional return on investment and bring you ways to help your employees become healthier so they are more productive and can contribute to your organization at a higher level.
Rutherfoord is a recognized leader in Population Health Management (PHM), providing comprehensive programs that improve health and lower costs.
We implement complete programs including oversight and measurement that:
- Improve your employees’ health
- Increase productivity and morale
- Decrease absenteeism
- Show the outcomes—using our proprietary Value on Investment (VOI) created with Milliman and the Disease Management Purchasing Consortium.
In fact, Rutherfoord is one of the few consultancies certified by the Disease Management Purchasing Consortium in Small Group PHM, ensuring that your investment in PHM produces real, quantifiable results. Using the services of Dr. David Rearick, Medical Director and our two Wellness Directors, Patti Rittling and Stephen Cherniak, we can design a plan that will produce immediate and lasting benefits for your organization.
Rutherfoord can even show you how to lower the cost of your benefits program with WellFit Advantage, a comprehensive program for employers wishing to invest in their organization’s health.
To talk with our Medical Director, Dr. David Rearick or one of our Wellness Directors, Contact Us.
Clinical Underwriting Audits
Typically, Rutherfoord significantly reduces clients’ premiums because we review your plan using the expertise of our Medical Director. He looks at your group’s clinical history, ensuring the underwriters consider the health status of your entire population when they set your rates. Contact Us to learn about our Clinical Premium Audit Service.
Medical Director Services
When you hire Rutherfoord, you gain the full-time resource of a physician for your team. Our Medical Director, Dr. David Rearick, left a successful private practice to help employers navigate the complexity of insurance premiums and claims.
The insurance companies all have medical personnel advising them on claims and premium setting. With Rutherfoord, you can have a doctor on your side, who can talk directly to the insurer's Medical Director when claims are denied—and who can evaluate if the premium you’ve been paying can be reduced.
Wellness Director Services
Another valuable resource Rutherfoord offers is our talented Wellness Directors who have years of experience designing and implementing wellness programs for both small and large companies. Regardless of the size of your business, our wellness team can build a program that will demonstrate real value to your bottom line.
In fact, Rutherfoord is one of the few benefits consultancies certified by the Disease Management Purchasing Consortium in Small Group PHM programs, which ensures you are receiving value from your investment in PHM programs.
Pharmacy Director Services
A significant portion of the cost for any health benefits plan is the cost of prescription medications. Rutherfoord offers you the expertise of a full-time pharmacist who works on our clients’ behalf to drive costs out of their prescription program.
WellFit Advantage
Organizations looking for ways to control the escalating costs of healthcare finally have an answer—WellFit Advantage. This comprehensive program combines wellness programming with insurance savings. And it has the added benefit of improving employee health and productivity, impacting your bottom line.
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