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Camalis Flores Polanco, LUTCF, FSS.
Luis A. Pérez Moreno, MD, MPH, MHSA.
RiskOne created a unique patient centric healthcare model that pairs data with prevention practices to deliver healthier and more productive employees, and incremental value for our business partners…
COREMax®
We work hand by hand with the employer with this comprehensive service model bringing:
- Market analysis, Tailored Benefits Program, (RFP’s) & Negotiations, Performance Guarantees & Monitoring.
- Actuarial Analytics, Integrated Data-based Analytics (Medical - Rx), Cost Driver’s Analysis, Cost Control Strategies, Customized Utilization Reports.
- Wellness & Prevention custom programs.
- “One Stop Shop” concept for employee and employee service.
- Day-to-Day Services: Insurer Dedicated Personnel, Annual Servicing Plan Design.
CAREMax®
This innovative population health tool integrates: Medical and Pharmacy Data to develop a customized plan for each employee to manage the most relevant conditions in a group.
- We have proprietary care Algorithms that target early-state interventions of preventable chronic conditions in your employee Population.
- We look beyond group utilization and experience data and into comprehensive health economics and epidemiologic analysis that takes into account quality-of-life and employee Wellbeing;.
- We design and implement evidence-based clinical care interventions, called “Value Based Programs” that focus on generating value, not only costs.
TRENDMax®
Our Pharmacy Tool kit for the employer and employee…
This is exclusive pharmacy trend management package includes 3 major programs:
- Maximize and Manage Drugs Financial Investment.
- Maximize Appropriateness of Use.
- Comprehensively Audit for Pharmacy Spend.
COREMax®
Health & Financial
Servicing Platform
COREMax®
Population Health
Tools
TRENDMax®
Rx Tool Kit
Employers face a daunting challenge split between providing employees with a competitive Health & Benefits program and balancing the financial burden of the increasing healthcare costs. Keeping employees healthy and productive is a monumental task that has become one of the top priorities of employers. At RiskOne we pride ourselves in providing a unique value proposition that focuses on bringing to life value-based clinical programs focused on prevention and effective drug trend management. We are able to do this by leveraging advanced data analytics and by applying proprietary clinical protocols for chronic conditions.