Page 34 - Western Wisconsin Health
P. 34
Complex large claims management and
stop loss









Actionable cost containment opportunities







SPECIALTY ORGAN AND
PHARMACY TISSUE IMPLANTS



Clinical strategies:

Diagnosis conirmation
Treatment alternatives

ACTIONABLE Provider optimization
OPPORTUNITIES Pricing negotiation HIGH RISK
DEFINED ONCOLOGY PREGNANCY AND
Predetermined set of medical Treatment protocol
diagnostic categories where Rx cost containment NEONATAL
known impact can be made
Claim audit and re-pricing
Plan design recommendations

Site of care review
Domestic steerage




ESRD/DIALYSIS HEMOPHILIA







Western Wisconsin Health — Lockton Total Rewards Practice overview 34 Lockton Companies
   29   30   31   32   33   34   35   36   37   38   39