A Smarter Approach to Healthcare Cost Containment
Consilium Fiduciary Program
Consilium’s Fiduciary Program, geared towards self insured plans under ERISA law and the third party administrators that administer those plans, is helping clients manage and control their healthcare costs.
The Program:
- Defines Reimbursements
- Gives 100% Appeal Ownership
- Provides Full Legal Support
- Enhances Existing Out-of-Network Solutions
- Increases Savings
Through this program, Consilium enables self insured employers to develop a comprehensive fiduciary strategy that includes prudent reimbursement of medical providers, a full and fair review of appealed claims, and quality defense in any legal actions against the plan or employer. We are bending the cost curve to make healthcare costs more affordable. The plan is structured to hold the plan under self insurance and member harmless in any appeal action.
The Fiduciary Program addresses three critical areas:
- Reduces Medical Costs
- Protects Plan and Members
- Captive Insurance/Legal Defensibility
Defensibility of your audited claims is the key to challenging inflated claim charges. As your delegated co-fiduciary, this program will be responsible for any legal fees that may occur if an audited claim is disputed.Consilium offers a zero-risk approach with a free review of plan documents for implementation processes.