CBCA
Administrators Inc. Services
CBCA Administrators Inc.
combines integrated medical management strategies, seamless
service applications, innovative reporting, and predictive
modeling tools to deliver healthy clinical outcomes coupled
with measurable cost savings.
It's
an approach that’s more effective, more customized,
more flexible and more efficient. It's a process that's better
integrated and better managed — with
better results.
Plan
Administration
CBCA
Administrators Inc. is one of the largest independent benefit
management organizations in the U.S. The company has more
than 30 years of experience as an administrator of health
plans and a proven track record of delivering responsive service
and measurable results.
The CBCA Administrators, Inc. advantage is in our automated
processes, our thorough understanding of benefit plan administration,
our full service offering, our commitment to advanced technology
to manage costs and enhance service, and our accountability.
Leveraging
three decades of health plan expertise, CBCA Administrators,
Inc. :
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Operates
a nationally licensed TPA operating through processing
and service centers across the U.S.
-
Offers
flexible network management with access to national networks,
each of which includes more than 300,000 physicians and
3,000 hospitals, that have agreed to deliver care at competitive,
contracted rates. Out-of-network fee negotiation is also
available to generate savings at the point-of-care.
-
Provides
and supports a comprehensive suite of supplemental services
including Flexible Spending Accounts, Reimbursement Accounts
for high-deductible health plans, Pharmacy Benefits Management
(PBM), Care Management, Short Term Disability, COBRA administration,
HIPAA compliance, Stop-Loss coverage, and Subrogation
options.
-
Operates
a fully integrated call center and web self service suite
that delivers live, automated voice response, or web-based
service to employers, employees, dependents, and providers.
- Supports
customer administrative outsourcing needs through premium
billing, banking, financial services, and fulfillment.
How
We Serve Our Customers
CBCA
Administrators, Inc.'s administrative systems and SAS70 Level
II certified processes provide the basis for the company’s
payment accuracy, responsive service, and cost efficiency.
We are proud of our performance and accountable for our results...so
we work with our clients to set targets and place up to 10%
of our performance fees at risk, based on meeting or exceeding
those targets.
-
Electronic
Data Interchange and Optical Character Resolution increase
speed and accuracy of claims processing with service standards
consistently at or above industry standards.
-
24/7 Interactive Voice Response and Internet self-service
options successfully resolve more than 50% of all inquiries.
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More than 95% of claims are paid within 10 days.
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99.3% of FSA claims are paid within 3 business days.
Core
Business Operations
Care
Management
CBCA
Care Management includes a broad range of programs and services,
including Case Management, Utilization Review, a 24/7 Nurse-Line,
Disease Management and Wellness Programs. CBCA Administrators,
Inc.'s patient-centric Care Management
approach identifies potential gaps in care through early intervention
based on patient needs. Nurses work with patients and physicians
to determine the appropriate level of care, care setting,
number of inpatient days, and follow-up or continuing care
needs.
Pharmacy
Benefits Management
Through our strategic partnerships, CBCA Administrators, Inc.
offers innovative Pharmacy Benefits Management plan options,
customized formularies, and integrated information systems
to help coordinate care and identify chronic disease conditions
for early intervention. CBCA Administrators, Inc.'s customized
program and integrated services give members of the plan programs,
a wide array of core products, focused on driving down costs
and advancing health.
Plan
Administration
CBCA Administrators Inc. gives plans unparalleled flexibility
– the right mix of funding arrangements, network solutions,
flexible benefit design and integrated services. Comprehensive
CBCA Administrators, Inc. administrative services include
our TPA Services and Reimbursement Plans.
Industry
Leading Products
CBCA Administrators Inc. leads the industry with these unique, innovative products
that help to effectively manage rising health care costs.
-
Health
Quest™: CBCA Administrators, Inc. is excited
to offer this self-management tool to our clients and
their employees. The Health Quest™ product allows
the employee to proactively control their health care
costs by early disease identification and monitoring.
An onsite health assessment and blood draw is performed,
and confidential results are back in the member’s
hands within 72 hours. Member results are confirmed by
a physician and enrollment in patient self-management
tool is assigned.
-
CareNavigator™:
CareNavigator™ is an advanced care management offering.
This product allows for coordination of healthcare activities
outside of the PCP setting. Several key components are
a 24/7 Nurse Help Line, Inpatient and Outpatient pre-certification,
Referral Management, Maternity Management, and Disease
Management (optional). Performance risk and reward pricing
is available.
- Roadmap™:
CBCA Administrators, Inc.'s Roadmap™ product provides
a focused approach to managing costs at a member and disease
level within a population, by helping a client understand
the illness burden of a population. By using Roadmap™,
a client can tell who is at high risk for increased cost,
what diseases are present in a particular population, and
what cost is associated with the existing illness burden.
This allows the client to improve patient compliance with
disease management programs.
In Summary
CBCA
Administrators, Inc. has the size, technology, products, resources
and innovative ideas to successfully support your organizational
objectives.
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