Monitoring utilization and coordinating care can prevent future claims

IHRM members provide a comprehensive range of health plan services to facilitate quality, responsible patient care in a timely manner. Expertise in benefit plan design and integrated technology provide self-funded clients with efficient administration and the resources to use their health plan cost effectively.

Convenient Physician Access

Programs are designed to minimize costly emergency room visits and improve access to primary care physicians. Employees enjoy the added convenience and manage their FSA, HSA, or HRA funds more efficiently.

Big-Company Network Discounts

In contrast to other benefits administrators, IHRM members provide self-funded groups with unique, integrated access to high quality primary physician care, true national coverage and discounted rates previously enjoyed by only the largest employers.

Fraud and Abuse Mitigation

Reducing fraudulent and abusive plan expenditures requires comprehensive data analysis and professional investigation, before claims are paid. Integrated data analysis, both retrospective and prospective, can often eliminate up to 70% of total fraud and abuse.

Integrated Healthcare Management

By integrating medical, prescription drug and clinical utilization data with nurse coaches, board certified physicians and a suite of health and disease management services, IHRM member administrators help self-funded employers coordinate and manage the cost and quality of care.

Ongoing Data Analysis

With QicLink™ data analysis and reporting technology, vast amounts of data is captured. It is used to provide data transparency for employers and help them analyze trends that can support our risk management initiatives.

Benefit Plan Modeling

By leveraging health claims data and integrating the latest plan modeling technology, IHRM members help clients understand how their plan is performing and compare alternatives that may improve their cost and quality of care going forward.