Our Services

The HDP Solution

The basis for our success is in the development of long-term relationships with a limited number of clients. These relationships are built on a foundation of comprehensive, results driven services. Our Foundation Services are complemented by Value-Added Services and Client-Centered Solutions to create a customized health delivery program that meets your needs.

  • Controlled rate of increase in health benefit costs
  • Improved health of chronically ill employees
  • Enhanced employee satisfaction with benefit program
  • Real support for the client's benefit staff

Services Pyramid

Features

Fully integrated health care services including PPO network management, medical management and claims administration.

Comprehensive utilization management and medical case management and patient advocacy, the core businesses of Health Design Plus:

  • Precertification of patient admissions, outpatient services and specialized services
  • Case management and discharge planning
  • Discount negotiations
  • Concurrent and retrospective medical claims review

Individualized PPO network development and management, fostering provider relationships that produce maximum access for employees and cost savings for clients:

  • Network of providers balancing access and cost
  • Contract negotiations
  • Websites and directories listing hospitals, physicians and ancillary providers
  • Ongoing network management

Assigned Customer Service Representatives focused on caller needs, problem solution and customer satisfaction.

Access to Lifestart® Maternity Management, Good Health By Design® Health Lifestyle and Disease Management Programs to keep participants healthy and identify risk factors early.

Monthly/Quarterly and Annual Reviews to provide data and analysis for making decisions about the health care Plan.

Regular meetings with the Health Design Plus Team to set goals, review service utilization and claims, identify trends and determine course of action.