WatchDog

WatchDog has become an intricate force in assisting the health care administrator’s day to day battle to help streamline the reporting process to quantify cost containment programs. Since our product works with all claims systems, our reporting allows administrators to gain a thorough understanding of the needs of an employer population. Our web based, HIPAA compliant, analytical tool enables administrators to streamline the reporting process to share detailed claim information to assist their broker partners/plan sponsors in proper claims management.

WatchDog uses a report-oriented approach to detail the overall performance of the group by:

• Providing a detailed report of allocated plan dollars broken down by benefit level to illustrate the greatest cost impact for the plan and member
• Evaluating trends by specific category
• Detecting the most costly benefit, age group and diagnostic categories which can help in identifying where plan modifications may be warranted
• Validating PPO network utilization and discounts
• Identifying opportunities for and evaluating the effectiveness of disease management and wellness opportunities,
• Drilling down to the specific user, provider and charge level for deeper plan analysis,
• Generating reports (through historical plan modeling) detailing the financial impact of each plan dimension (adjustment versus current plan parameters) and assessing how various plan modeled parameters affect both the plan sponsor and the individual participants
• Allowing for the most up-to-date, accurate disclosure and providing detailed reporting with drill down capabilities, to help identify the diagnosis of large claimants