Cost Containment Solutions
Rising costs in the administration of healthcare as well as the cost of providing healthcare services are key factors behind the cost of U.S. healthcare which is estimated to exceed $4 trillion dollars per year / 20%+ of GDP by 2015. Therefore, we have identified services and partners which will have an immediate measurable cost reduction to payers', employers' and consumers' healthcare expenditures. The solutions detailed will financially impact Third Party Administrators (TPAs), health insurance carriers, Preferred Provider Organizations (PPOs), employers and consumers, etc.
In addition, with the continued growth in High Deductible plans and overall increased consumer healthcare responsibility, The Lungen Group's cost containment solutions will directly impact the consumer's pocket with incremental savings and enhanced In-Network PPO access.
Solution Partners
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Ecom PPO Advisors
Ecom PPO Advisors, Inc. (SM) consistently delivers an unprecedented, industry-changing approach to optimizing PPO network savings, analysis, selection and administration.
Pharmacy Benefits Management
The Lungen Group provides best practice Pharmacy Benefits Management (PBM) solutions to help payer organizations, associations, employers, managed care companies and insurance carriers face the uphill battle of managing the spiraling costs of healthcare and the continued rising pharmacy costs being experienced today.
The Phia Group
The Phia Group provides industry innovation and experience in recovery services for payers including subrogation, reimbursement, overpayment recovery and other cost containment services.
TelaDoc Medical Services
TelaDoc is a national network of licensed, primary care physicians who diagnose individual medical problems via the telephone, recommend treatment and prescribe medication (when appropriate) over the telephone 24 hours a day, 365 days a year.
Transplant & Catastrophic Management
While almost 90,000 Americans are waiting longer than ever for a solid organ transplant, The Lungen Group's solution excels at expediting the process with a properly designed transplant network that affords the payer the best approach to managing the clinical and cost implications associated with transplantation. We work diligently to analyze and select the most appropriate transplant network and provide support in an effort to maintain and measure an effective program.
VIIAD
VIIAD™, short for Virtual Interactive Identification and Direction, is a patent-pending healthcare management platform that is streamlining the way Payers, Providers, and Members access providers to effectively utilize health insurance.