Renewal Planning
JR Katz works closely with each client throughout the year to develop and implement an effective renewal strategy and remove the administrative burdens that HR teams can encounter.
RFP Analysis Tool and Scorecard
Through an RFP process, which is based on objective and critical analysis, JR Katz allows employers to streamline the decision making process related to vendor or product selection.
8-Step Network Analysis
Utilizing an 8-step analytical approach, JR Katz is able to systematically quantify the cost-effectiveness of insurance carrier and TPA managed care networks. A major part of this analysis is quantifying an employer's actual network discount.
Provider "Quality of Care" Analysis
JR Katz performs a detailed "quality of care" assessment tailored specifically to the hospitals, doctors and networks that our clients' employees utilize. From this analysis, we can begin to study the impact of provider quality on the bottom line, specifically examining how contracted hospitals compare from a wide array of clinical measures.
Contract and Definition Reconciliations
JR Katz ensures accuracy and consistency among the various health and ancillary plan contracts. Our procedures prevent against common issues such as conflicting definitions of full-time employment within different client-held contracts as well as overlapping LTD and STD elimination periods.
Medical Audits *
In order to ensure the accuracy and integrity of a medical carrier, JR Katz facilitates comprehensive medical claim audits which are designed to identify and recover funds due to processing, billing or payment errors.
Rx Audits and Comprehensive Contract Review *
JR Katz's proprietary audit review process examines employers' pharmacy benefit management (PBM) contracts and claims to enforce compliance and accuracy relating to rebate calculations and payments, pharmacy pricing, and plan definitions (formulary, generic lists, etc).
* Services provided in conjunction with a strategic partner
RFP Scorecard (pdf)
The average employer contracts with five different carriers to provide their various health and welfare benefit offerings.
Given the increasing number of carrier relationships as well as employers' intensified marketing efforts, JR Katz utilizes a system to facilitate the RFP process, which allows employers to streamline their decision making through objective and critical analysis.