Power of Claims Analysis
Employers face soaring healthcare and prescription drug costs, but lack the data necessary to make informed decisions.
Powerful Claims and Utilization Information
William Gammon Insurance utilizes a proprietary web-based decision support system to analyze your medical and pharmacy plans. Our claims analysis system provides actionable data in an easy-to-use management report.
Our claims analysis system, benchmarks your claims experience against national norms organized by industry and location. WGI provides the actionable data you need to make informed employee benefit decisions.
- Why are office visits so high? Who is going to the doctor? Why are they going? Are they using in-network or out-of-network providers?
- Generic Drug Utilization – Are the Rx copays in alignment? Are employees encouraged to “buy the drug not the brand”?
- Emergency Room Utilization – Why is an employee subset utilizing the ER instead of a PCP? Is there a network gap? Are they considering alternatives? Is there an incentive for the employee to utilize a less expensive provider?
- Plan Modeling