Implement Proactive Safeguards that Fortify Your Health Benefit Delivery Process from Vulnerabilities, Abuse and Wasteful Practices

Most cost containment solutions attack abuse, waste and vulnerability issues too late in the timeline, after claims have been paid and your money is gone, using reactive “find and chase” methods that rely on “after-the-fact” analysis and disjointed review and investigation activities. These programs trace “surface ripples” back to small dollars and low-level perpetrators, rather than penetrating below the waves to thwart systemic problems and apply measures that prevent future attacks.

LASER SA²PHE² accelerated prioritization enables proactive intercept, helping implement safeguards further in advance and avoiding problems before claims are ever filed, processed or paid. Advance implementation of policies, procedures, changes and edits pre-empt vulnerabilities, allowing you to modify, protect and arm yourself prior to fee schedule development, benefit plan building, actuarial analysis and other processes. With LASER SA²PHE², you intercept problems before they start, using a very proactive, predictive and preventive approach, before health dollars are ever put at risk.