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Coalition Administration

Working together to leverage best practices

For nearly two decades, UMR has worked with multi-employer health care coalitions to deliver the best services available. Working with UMR, coalition managers have a single, experienced and committed source of benefit plans administration. We look at the big picture while managing the details – providing our coalition groups total cost savings for their plan dollars. In addition to our cost management program, our claim management is also exhibited in other key factors, such as trend performance, days avoided, ineligible claim management and medical management. UMR also administers groups that belong to open payer model coalitions supporting unique network contracts and structure with a robust platform at competitive fees. We are continuously investing in data tools and capabilities to work with coalition managers in extending value-added services.

UMR offers:

 
  • Experience and scale, currently administering numerous coalition arrangements with some relationships lasting more than 10 years

 

  • The ability to customize products and services, deliver service excellence and provide competitive pricing with operational efficiencies

 

  • A level of integration, CDH tools, network solutions, online tools and reporting capabilities unsurpassed by most TPAs

 

  • A flexible platform for loading and administering a range of provider reimbursement methodologies/contract types

 

  • Understanding of the “communication protocol” due to the complex relationships and value of coalition membership

 

  • Provider tiering and quality support initiatives

 

  • Analytic and actuarial services

 

When it comes to coalition administration, experience and expertise is the difference at UMR.

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