Best Practices

HDM Best Practices were developed from working with many of the leading companies in America. 

Annual Audits

Self-insured health plans should have independent verification of vendor performance. Ongoing audits of healthcare vendors to identify risk and manage cost. The result is improved performance and accountability.

Vendor Management

Employers should document vendor benchmarks such as contract provisions, performance guarantees, performance goals, summary plan document provisions. Vendor self-reporting and results of annual audits should be documented and compared to benchmarks. 

Performance Monitoring

Data driven vendor performance and plan comparison.

Enterprise Reporting

Each constituent within the employer group should have access to reporting tools :

• Finance Department: actuarial support to manage medical loss ratio.

• Benefits Department: benefits analysis and modeling to support decision making and vendor assessments.

• Internal Audit Department: audit and performance measures to comply with Sarbanes-Oxley.

If you have questions about this web site or need assistance e-mail info@hdminc.com or call 1-800-859-5119.

 

Types of Audits

Medical Plan Audit Pharmacy Plan Audit Dental Plan Audit Hospital Bill Audit Eligibility Audits

Value by Department

Corporate Finance HR/Benefits Internal Audit IT Department Healthcare Vendors Consultants

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