Health Finance Innovation
Recoup 14-20% of Plan Spend
A Turnkey Solution to reclaiming spent plan dollars
SKF Health Finance finds you money- delivered back to your total health benefits budget. We do this in a few ways:
Reduce hospital bills and claims
Rebate medical administered Rx claims
Reimburse medical liability claims
Rebalance medical service portfolios
Regroup voluntary benefits for ROI
SKF Health Finance finds you money- delivered back to your plan.
We do this in a few ways:
Reduce
Hospital bills can result in financial catastrophe for families. Hospital bills often contain overlooked savings. We use AI-driven claim reviews to uncover hidden discounts and billing errors — often before the plan pays — reducing costs for both members and employers.
Rebate
More than half of injectable drugs and specialized medications are provided at the point of care and are eligible for rebates, albeit qualifying insurers don't always collect them. Our program will review medical claims data to identify potential J-code medical rebates that can be captured on behalf of your beneficiaries.
Reimburse
Through subrogation, we’ll seek reimbursement to reclaim direct costs, including medical payments, disability costs, pharmacy benefits, and deductibles from the party at fault (or their insurer) for medical expenses covered by your plan. We identify, investigate and recover on your behalf to mitigate losses and maintain a lower premium rate. We’ll protect members against out-of-pocket expenses caused by others.
Regroup
Employers spend $5-25 PMPM on health and wellness. We’ll analyze these programs for their clinical effectiveness and ROI over time. This initial analysis is included with a full claims feed.
We’ll recommend voluntary health and wellness program adjustments to maximize clinical effectiveness and reduce cost to your members!
Health Finance Innovation
Hospital Bill Reduction
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Infused Drug Rebating
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Medical Subrogation
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Medicare Maximization
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Health and Wellness ROI
Hospital Bill Reduction • Infused Drug Rebating • Medical Subrogation • Medicare Maximization • Health and Wellness ROI
Just provide us with a claims feed for a free analysis.
Our AI and Human Expert claims analysis, coordination of benefits and eligibility enrollments drive annual savings.
See Real-Time Return
We’ll analyze up to 2 years of claims data to show recaptured funds on all eligible claims if utilizing our program.
Easy to Start
Starting is as simple as a historical claims feed. Our team will pursue all program filings, member engagements, administration and remedies to return funds to your plan and members.
Future Savings
Our system will flag and analyze all claims and members moving forward, returning found savings to you and your members on a routine basis. We share in the success.
Past and Future Savings
We review claims for eligibility into various programs that can reduce costs. Our free analysis will look back as far as 2 years to review what can be reimbursed, and provides projections for future savings through enrolling in programs.
