ABAS/TPA Simplifies Self-Funding

Fifteen years ago, most companies provided for employee benefits through traditional insurance programs. The carriers were responsible for administrative services, establishment of premium and reserve levels and payment of claims. But many employers now feel they can better control costs by separating the responsibilities, accepting a portion of the risk and self-funding their employee benefit plans.

ABAS/TPA provides professional guidance to groups considering self-funding. ABAS/TPA’s sales consultants will provide a written proposal comparing your current plan with a self-funded program. ABAS/TPA can show you how to use excess loss insurance to limit your claim liability and preserve self-funding’s cashflow advantages. (Excess loss coverage protects your plan against extreme losses by reimbursing you if annual claims exceed a predetermined level, which ABAS/TPA helps you establish.) Our sales consultants may also suggest additional cost-effective initiatives, such as:

• Cost-Effective Prescription Drug Card Benefit Management Options
  ABAS/TPA utilizes an industry leading pharmacy benefit manager (PBM) to assist its clients in implementing and designing the latest in prescription drug benefit options.
• Providing Outpatient Diagnostic Benefits
  Inpatient hospital care is among the most expensive forms of health care delivery. Provisions for outpatient diagnostic x-ray and laboratory tests in the doctor’s office, laboratory or outpatient facility could substantially reduce your costs.
• Covering PreAdmission/Early Testing
  Programs that allow for outpatient or clinic testing of patients prior to hospitalization can be extremely cost-effective.
• Monitoring Friday Admissions Plans
  that discourage pre-weekend hospital admissions for non-emergency procedures can cut costs dramatically.
• Large Case Management/Pre-Certification
  For over ten years, ABAS/TPA has teamed up with the industry’s leading provider of large case management and pre-certification services. The coordination of these services through ABAS/TPA assists our clients in lowering their overall employee benefit costs.