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"Pre-Claim" Cost Control Experts

 

Circle Health Partners, Inc. provides expertise and consulting in pre-claim cost control.

No matter how you slice it...helping members before medical and pharmacy claims arise is the key to controlling health costs.

Our market is Brokers, Consultants, Third Party Administrators (TPA's) and Employers with a focus in the mid-market.  In short, Circle Health Partners, Inc. creates aggregate purchasing power and expert consulting allowing groups to compete more effectively. 

  • A best-in-class pharmacy pool with a focus on lowest net cost prescription drug utilization, a coordinated and patient focused specialty pharmacy approach and outstanding clinical care programs.

  • Best-in-class wellness solutions that meet client’s return on investment (ROI) requirements, enhances productivity and creates a more healthy workforce.  In addition, the employee and member population is more aware of their current health status and any health related issues.

  • A discount benefit card that includes medical, prescription drugs, dental, vision, hearing, vitamins and a 24-hour nurse line. This product is available for individuals that have limited or no coverage and it can be purchased on an ala-carte basis. It is not health insurance. Rather, it provides national network discounts.

  • A best-in-class data integration tool called Full Circle.  This product features a secure data pipeline that permits all medical, prescription drug, wellness, disease management and utilization management data. 

  • A best-in-class prescription drug carve-out program for fully insured and managed care plan providers.  This carve-out arrangement will allow clients to self insure their prescription drug benefits.

 

Our Purpose & Mission

  • To be the world leader in pre-claim cost control strategies.

  • Provide purchasing power to our clients that is unmatched in the market.

  • Provide focused expert consulting and senior level account management for brokers, TPA's and employer groups in the mid-market.  We'll do the heavy lifting for our broker/TPA clients and bring solutions to the table.

  • Deliver truly integrated health and wellness  strategies that saves lives and impacts the bottom line for our clients.

  • To change the corporate health delivery model so that employers and its members can focus on their core business and success.

Purchasing Power & Integration Strategies with Account Management Services

 


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