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| Native American
Offering specialized administrative
services
UMR offers American Indian and Alaska Native tribes the
specialized administrative services they need to deliver a quality health plan
focused on containing costs and getting plan members the right care at the right
time.
We have created three service opportunities for tribal groups:
Tribal Employee Medical
Offering
Mini-Med Plan Benefit Offering
A self-funded, limited benefit plan option, our mini-med plan
supplements Contract Health Services (
CHS
) and Indian Health Services (IHS) primary care and ‘life and limb’
benefits. While we have set up a set of basic benefits for a guideline, we will structure the plan
to address each individual tribe’s needs and we’ll do it for less money than other
alternatives. If you’re looking for an insured product, we can help—with a fully insured
mini-medical program.
In both cases, we can structure benefits to focus on severe chronic
conditions through our disease management and wellness programs. For example, many clients
include management of coronary artery disease, congestive heart failure and hypertension in their
structure. We can help identify at risk individuals with a health risk assessment and work with
them individually to help them control their condition and live healthier lives.
Medicare Rate Repricing
Since the Federal
Government’s implementation of the “Medicare-Like Rates” pricing of hospital
claims, tribes can work with us to control medical costs. We can reprice
hospital, emergency room, psychiatric, rehabilitative and home health care fees
to Medicare rates to Medicare-participating hospitals that deliver services to
American Indians and Alaska Natives through IHS-funded programs.
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Other Market Segments
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