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Additional Services
AIMM can assist you in identifying which areas medical management interventions (and thus dollars) are most likely to have an impact. The recommendations for investments from AIMM are based on a combination of factors including dollars spent, number of members impacted, and "missing" quality indicators. Thus you are assured of the mostly likely return on investment. All recommendations are based on the uniqueness of YOUR specific health plan.
Negotiated Savings Program
Providing discounts on out-of-network claims through:
- Direct negotiation on claims over the established minimum threshold amount
- Direct contracts with providers
- Accessing Alternate Networks
Claims Data Mining
Healthcare Business Artificial Intelligence Software and Services that blends medical claims data, prescription drug data, and practice management data. The software focuses on medical management opportunities that currently exist for the client’s members in an ambulatory setting, thereby generating cost-savings opportunities for the client.
Access Nurse (24/7 Demand Management Program)
Provides 24-hour access to a nurse information line where specially trained registered nurses assist callers by providing information, assessment, advice, teaching, resource identification, follow-up and guidance as to the most appropriate level of care. An extensive audio library is included.
Employee Assistance Program
A 24-hour per day/seven day per week program that offers counseling, education, and crisis intervention.
Smoking Cessation Program
A telephonic/Internet based program to assist in the struggle to stop smoking. The program includes six online sessions, homework and reading assignments, individual follow-up phone counseling, and a maintenance program providing ongoing support for the first six months.
Health Fairs and Wellness Screenings
Provides Health Risk Assessments, Disease Prevention Education, and Screenings at the worksite.
Hospital Bill Audit
A line by line comparison of billed charges to area norms and a thorough examination and analysis of medical bill pricing, for bills falling outside of any pre-contracted discounts or fee schedules
Health Risk Assessment Surveys
A Comprehensive 50+ question assessment used to identify Existing Problems, Health History, Major Risk Factors, Educational Issues, and Preventive Exams not current.
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