Health Care Consulting Services
Resolute offers a variety of consulting services to meet the needs of unions, employers, and insurance companies. 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.
Healthcare benefits are essential for companies to attract and retain employees but may be difficult to administer and maintain. Adding Resolute consumer advocacy services to your health insurance portfolio can often be accomplished at no direct cost to your company. With Resolute as a trusted partner, unions and employers 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, insurance clinical guidelines, and
industry medical research.
▪️Data analysis to uncover trends and hidden costs.
▪️Establish workflows coupled with frequent member communications.
▪️Uphold the tenets of HIPAA privacy.
When employees feel at ease with their health insurance benefits, it will increase 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 from pre- to post-service concerns.
Resolute offers immediate access to highly experienced talent. We deliver the expertise to address critical business issues that arise across claim operations and function areas including, but not limited to:
▪️Medicare Risk Adjustment Data Validation (RADV)
▪️Compliance programs and audit preparation
▪️System migrations, testing, and data analysis.
▪️Workflows and documentation of standard operating procedures