Health Care Consulting Services
Resolute offers a variety of consulting services to meet the needs of unions, employers, and insurance administrators. Our customer-focused model coupled with our analytical skills drive measurable results to bring peace of mind. Efficient, effective, and quality outcomes improve your bottom line and allow you to redirect your focus.
Unions & Employers
Healthcare benefits are essential for companies to attract and retain employees but may be difficult to administer and maintain. Adding Resolute advisory services to your health insurance portfolio can often be accomplished at no direct cost to your budget. With Resolute as a trusted partner, members gain instant access to personal advocates at prices far below market value.
Resolute’s advocacy programs are designed to be easily implemented. From creating the right package to employee enrollment and support, Resolute has you covered. Our approach reflects our commitment to people helping people:
- Engage members in purposeful discussions and build rapport.
- Evaluate concerns alongside governing plan documents, clinical guidelines, industry regulations and medical research.
- Data analysis to uncover trends and hidden costs.
- Establish workflows coupled with frequent member communications.
- Uphold the tenets of HIPAA privacy.
When members are granted access to an unbiased partner to address their health insurance concerns, it increases their work productivity, and reduce expenses for the employee and employer alike. With Resolute’s wide range of services, your team can relax knowing they have an advocate to educate members on pre- to post-service health insurance concerns.
Insurance Administrators
Resolute offers immediate access to highly experienced talent. We deliver the expertise to address critical business issues that arise across claim operations and functional areas including, but not limited to:
- Medicare Risk Adjustment Data Validation (RADV)
- Compliance programs and audit preparation
- System migrations, testing, and data analysis
- Development and implementation of workflows and policies and procedures
- Special projects