About Plan Analysts

We know this business
We know we have to deliver in order for our clients to be successful
This is what we do

As the pressure of rising health costs and governmental regulations squeeze the bottom line, finding an advisor with the right experience is essential to achieving your mission, now and in the future. We have the right team of experts with the experience to navigate these disruptive times and bring common sense approaches to complex issues.

PAHM : Our Propriety Total Health Management Program Gets Results

$543,900 Savings for Lung Transplant Candidate:

48 year-old spouse participated in annual screening in August 2019. Identified through annual screening as morbidly obese, poorly managed blood pressure, GERD, and COPD.

Timing was everything in this case. Member not on shock claim list, not a high claimant yet – but the annual health screening put her on PAHM’s radar. Nurse care management outreach indicated that the member was having serious health issues which put her at high risk for hospitalization and her doctor put her on the transplant list. She is diagnosed with high blood pressure, COPD, morbidly obese. Member reported that her Pulmonologist put her on the transplant list as her lung capacity was not improving. Her nurse worked with her to follow-up with her physician, participate in pulmonary rehabilitation, compliance with COPD medications and to lose weight. Nurse Care Manager motivated her to exercise and work on breathing exercises. As of December 2019 her doctor took her off the transplant list. She has lost 23 pounds, compliant with her medications, and is committed to continuing exercise and to lose weight.

Who We Are

Employee Benefits leader for over 35 years

North Florida Benefit Advisors Network Partner

Sole focus on Employee Benefits

Expertise – full spectrum of skills

130 years combined relevant industry experience

Our Experience

Multi-thousand life, Multi- location, Self-funded

Multiple Plan design and multiple division platforms

Effective communication with employees

Plan sustainability – cost control, Reporting

Flexibility, IT interface and support, Administration support

Support Materials

Employee Handbooks & Communication Tools

Compliance Updates

Our Commitment – to be Your Trusted Partner

Long term relationship strategy & history

CBO – Chief Benefits Officer mentality and performance

Delivering national resources with local service

Top 10 National Benefits Organization

               70+ Offices in key cities nationwidelogo

Representing 10,000 employers

3.5+ million covered employees

$20 Billion in annual healthcare spend

Nationally recognized experts

Compliance, Communications, Medical, Actuarial, Wellness, DM, Audits, Rx, HDH/CDH, Self-funded, Retirement, Executive, Voluntary Benefits

Independently owned, Member directed, Collaborative organization

Entrepreneurial & Professional

Client Dedicated

Preferred Vendor Relationships

National Wiki based robust information sharing and collaboration system

Best Practices

Innovative leadership

Results based

Preferred Relationships: Carriers, Data Analytics, Wellness/Health Management

Save through PAHM (Plan Analysts Health Management)!

Detect and Reduce UNKNOWN High-risk medical conditions or even eliminate them. PAHM nurses also help members with KNOWN medical conditions.

What this means to you:

  • Employees are less likely to have those time bomb claims
    • Some large/shock claims are headed off as risks are uncovered and reduced
  • Employees know what to do to better manage their condition and their lives
  • Employees like their one on one relationships with real Nurses and respond
  • You receive reports giving evidence of progress being made and proof of “what didn’t happen”

The advantage to you:

  • Significant claim reduction
  • More productive employees and lower absenteeism and related effects
  • Employees save costs and perhaps lives/quality of life

Why PAMH?

  • 90%+ participation using our effective and strong incentives
  • Impact your health plan cost by effectively targeting large health risk through PAHM, or plan analysts health management
  • Preventing ONE or FEW large claims can have a major impact to your spend and your employees lives
  • Identify health problems and behavioral risk factors that influence health status, development and implementation of highly effective, targeted health prevention activities
  • Shows the employer “what didn’t happen” and it’s value
  • Reduces costs of surgery through pre & post-acute care coaching
  • No employer net cost – costs are covered up front by non-participants and ongoing savings are demonstrated through the advanced accrual model analytics (not “ROI”)

How it works:

  • Health Risk Management – Bio-metric Screenings
  • Reveal unknown health conditions
  • Reporting – Members are confidentially contacted about issues potentially seriously affecting their health
  • Nurse Manager Coaching (RN) – One to one monthly calls following Prochaska’s behavior modification model for successful Disease Management

The Results:

  • Healthier employees
  • Lower cost to your Health Plan
  • Increase in productivity

$543,900 Savings for Lung Transplant Candidate:

48 year-old spouse participated in annual screening in August 2019. Identified through annual screening as morbidly obese, poorly managed blood pressure, GERD, and COPD.

Timing was everything in this case. Member not on shock claim list, not a high claimant yet – but the annual health screening put her on PAHM’s radar. Nurse care management outreach indicated that the member was having serious health issues which put her at high risk for hospitalization and her doctor put her on the transplant list. She is diagnosed with high blood pressure, COPD, morbidly obese. Member reported that her pulmonologist put her on the transplant list as her lung capacity was not improving. Her nurse worked with her to follow-up with her physician, participate in pulmonary rehabilitation, compliance with COPD medications and to lose weight. Nurse Care Manager motivated her to exercise and work on breathing exercises. As of December 2019 her doctor took her off the transplant list. She has lost 23 pounds, compliant with her medications, and is committed to continuing exercise and to lose weight.

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Plan Analysts, Inc. | 4811 Beach Blvd., Suite 433 | Jacksonville, FL 32207 | (904) 354-8989
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