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Hospital Administration

Understanding the needs of employers that are the health care providers

 
UMR has experience working with more than 130 hospital and health system customers. From small regional hospitals to large, multi-state integrated delivery systems, we help plan sponsors provide quality health care to employees while effectively managing employee productivity and plan costs. Not only that, we will work with hospitals and health systems to maximize their return on existing resources.
 
At UMR, we provide maximum flexibility through customized benefit plans administration to meet a hospital’s strategic objectives. Key areas of expertise and flexibility include:

 
  • Hospital experience
    UMR effectively manages employee health benefits for over 130 hospital/health care customers with 450,000 members across the United States


  • Flexible model
    We provide maximum flexibility that matches a customized benefits solution to a hospital’s strategic objectives. Areas of flexibility include:

    Networks
    Our experience administering three- and four-tier networks along with access to UnitedHealthcare’s national network and over 80 regional rental networks allows hospital systems to maximize domestic utilization while effectively managing any non-domestic costs .  Other administrative utilities, such as domestic check suppression and customized domestic provider reimbursements can be provided to further plan objectives and minimize expense.

    Health management services
    We can “carve-out” or deliver health management programs based on the hospital systems existing resources.

    Pharmacy benefit managers
    Depending on the hospital’s needs, clients can leverage our preferred pharmacy benefit manager (PBM), eight other PBMs as well as a hospital’s own pharmacy services.


  • Coordination with hospital to build a highly effective wellness programs
    Our health and wellness program combines clinical health risk assessments, predictive modeling and case selection to identify at-risk members, engages them through plan design and empowers them with support from health educators in coordination with existing hospital wellness resources.


  • Customized reporting with benchmarks to support decision making
    We leveraged our hospital customers to develop a unique hospital reporting package that includes, among other things, detailed utilization information, “no-pay” reports and hospital-specific benchmarks.


  • Personalized service
    Hospital clients have a designated team of benefits professionals that are an extension of the human resources department.  Additionally, calls are answered via live CSR who pays claims and answers phone calls promoting greater first call resolution and high member satisfaction.

Other Market Segments


 
 
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