Our Services: Specialty Service
Across all of our markets, HSI provides a selection of supplemental or specialty services designed to provide savings for specific carve out services such as pharmacy and ancillary care.
HSI clients can maximize their savings by utilizing HSI's specialty services above and beyond repricing, bill review, and managed care services… all through one single gateway – HSI.
SPECIALTY SERVICE: What is it?
That’s a tough questions, without knowing more about you. There are big differences in the needs of our varied customers – TPAs, Maritime clients, municipalities, self insured businesses, regional carriers, MGUs, etc. So to answer the question, we have highly specialized services that can contain cost in your specific environment which include expertise in the following:
- Pharmacy Benefit Management
HSI offers Bridgeway Rx, a pharmacy management program with the essential elements for successervice, utilization strategies, and excellent rates. Bridgeway Rx will customize and implement a plan for your company that keeps you in control of utilization and lowers costs.
HSI Strategies to Reduce Pharmacy Costs
- Excellent rates at over 56,000 pharmacies with an easy to use card-based program.
- Drug Utilization Review reduces unnecessary prescriptions and costly adverse drug events
- Generic Substitution and Therapeutic Equivalent strategies
- Customized restrictions, authorizations, and formularies allow you or your company physician to remain in control of the program
- Mail order program for further savings
- High levels of customer service designed to help keep all of your members in the plan
-
Other Pharmacy Benefits
- HSI Bill Review customers receive FREE BILL REVIEW on all pharmacy claims. 15-20% of your medical bills are pharmacy bills.
- Pharmacy Reviews for high-dollar claims
- Staff pharmacists available to assist you
- Integrates easily with other HSI products
- Ancilliary Care Services (ACS)
With Ancillary Care becoming a growing concern in health care expense. HSI offers Ancillary Care specific carve out options that include cost effective national ancillary services network available. We partner with PPO’s, insurance companies, self-insured employers, TPA's, and union trusts to improve access to ancillary care while reducing ancillary care claims costs. The focus is on ancillary benefits, which account for up to 30% of total medical costs, and expected to grow at a faster rate than overall healthcare cost. We currently offer 25,000 provider locations nationwide; growing by 25% annually and have a strong focus on regional coverage. There are 26 service categories and 30 subspecialties represented.
Access for U.S. TPAs, MGUs, Healthplans, Workers Compensation, etc.