Custom Healthcare Solutions
All provider networks are not created equal and they do not constantly improve upon their
discounts. On average a tiered network can save a plan 14% or more. We direct your members
to lower cost provider in order to save your member and plan money.
We provide Medicare Like Rates for Indian Tribal Entities and other self-insured employers.
Our proprietary software takes the Medicare and Market pricing and develops
appropriate rates for your plans negotiating power.
If your plan is self-insured, it’s critically important that every healthcare dollar you spend is for
legitimate expenses. The department of justice has been tasked with bringing in over $17
billion dollars in fines this year. Part of what we do is to keep you in compliance with all
federal laws and regulations governing ERISA. We audit 100% of your claims for payment
accuracy according to your plan document and stop loss contract.
The average hospital claim has increased 25% to 40%. High dollar claims average between
50% to 80% of your plans overall claims costs. Our unique skills, medical knowledge and
proprietary Auditing system.
The goal of the federal government is to enforce the Affordable Care Act (ACA) and other
federal regulations. They have started regular audits of group health plans. These audits
extend into compliance of ERISA. We will review your existing SPD for compliance or
customize one for you.
PRODUCTS AND SERVICES
Health West has been creating custom healthcare solutions for employers and brokers since 2009. We created our first CUSTOM provider network in Yuma, Arizona for a self-funded school district. We realized that there are many solutions that lower healthcare costs and provide quality that were not being implemented throughout the healthcare industry. Our goal is to think outside of the healthcare box and provide innovative, tested solutions that make sense and actually save our clients time and money.
Our independence allows us to prioritize and select solutions that are in the best interest of the employer and the member. Then provide the knowledge and power to make and implement changes to save money.
With over 50 years of combined experience in the healthcare arena and over 30 years of experience in healthcare insurance, we specialize in self-funding, consulting, claims administration and data analysis for employer sponsored health plans. We have been able to negotiate multi million dollar contracts with hospitals, physicians and other ancillary providers.