Why Best Benefits is Relevant
In 2007,
the Social Security Administration reported that 5 million Medicaid recipients
under the age of 65 had qualified for Supplemental Security Income (SSI).1
That accounts only for about 60% of the disabled, under-65 Medicaid population.2
That means there are millions of people on Medicaid who are eligible for SSI
but who have not been converted to that category. Vulnerabilities of the
population and the complexity of the SSI application process make it extremely
difficult for individuals to successfully navigate it themselves.
Depending upon age,
location and program, managed care plans are capitated at appreciably higher
rates for their increased risk in covering the higher medical costs incurred by
the disabled. The increase due to SSI enrollment can vary from $3,000 to
$13,000 annually per member, which can easily translate to millions of dollars
in incremental revenue each year.
SSI direct benefits
to the disabled vary, but they can exceed $7,400 per year of incremental cash
payments for individuals. In some cases, with the addition of state
supplements, this amount can be even higher.
Human Arc’s Best Benefitssm is the only
complete solution for Medicaid managed care plans to the challenges of SSI
enrollment. Best Benefits is proven to:
§
Efficiently identify
and locate disabled members of Medicaid managed care plans and
those with disabled dependents.
§
Help disabled members get the SSI benefits to which they are entitled.
§
Deliver significant incremental capitation right to the
bottom line
to help address the added risk of insuring the disabled.
§
Protect plans’ annuity income and the ongoing wellbeing of
their disabled members
through systematic SSI re-determination.
The
Human Arc Edge - the Right Technology
Over our 23-year history, Human Arc Corporation
has developed innovative, proprietary tools and industry best practices to
help healthcare plans and providers. Our leading-edge information systems
and HIPAA-compliant data mining techniques give us advanced, web-based tools
and client reporting capabilities. We not only resolve your problems;
we also optimize your decision making information and, at the same
time, minimize your time involvement, allowing you to focus on your
core areas of expertise.
For Best Benefits clients,
Human Arc’s
medically-driven, third generation Precisionsm predictive
modeling quickly identifies the likeliest disability candidates, strictly in
accordance with government and medical standards.
§
Compliance with exacting government disability definitions
is optimized because Precision is based on the Social Security
Administration’s own 14 body systems of adult disability criteria (Human Arc is
adding 15 systems of pediatric disability criteria to the model in 2007).
§
You are assured the most effective data mining results.
Precision has received significant input from state Disability
Determination Unit physicians and PhD’s who rule on SSI applications within
Social Security Administration guidelines.
Our technology
doesn’t just identify who the optimal candidates are. Human Arc’s
information processing systems also identify quickly and economically where
these members are. In addition, to shorten the SSI process even further, Best
Benefits uses the On-line 3368 SSA Application.
The
Human Arc Edge - the Longest Experience
For over
23 years, our focus has
been revenue enhancement and recovery for providers and plans. Our
clients include some of the most prominent hospitals and managed care firms
in the country. Hospitals refer literally thousands of uninsured and
under-insured patients per month to us for assistance with Medicaid program
enrollment. About half of the patients we successfully help are enrolled in
eligibility programs requiring disability determination (such as SSI), so we process
many thousands of disability applications every year.
§
You can have confidence in Best Benefits’ expertise.
Our management has depth in both government disability determination and
industry operational perspectives.
§
You’ll get more SSI applications approved… faster…
due to our long, successful relationships with government agencies. We
pre-notify agencies of our actions, perform pre-adjudication work for them, and
provide them with “cleaner,” more viable application packages.
§
Your members have trained experts working with them on their
behalf.
Best Benefits specialists are disability-experienced. They have passed the
Social Security Administration Non-Attorney Demonstration Project exam to
qualify to represent plan members. They are expert in compassionate, respectful
screening and application support. And, since SSI impacts food stamp
allocations, housing assistance and other programs (which can have real
consequences if ignored or misunderstood), Best Benefits specialists help
members to carefully weigh all their options.
§
Tested resources assure better outcomes.
Best Benefits outreach is proven to educate members and elicit interest and
active participation from them. We have special skills with the aged, the
communications-challenged and the transient. Human Arc maintains multi-lingual
depth and 24/7 access to a national translation service, and we have proven
methods for locating difficult-to-find individuals.
Case Studies
Nothing speaks like proof, so here's how Best Benefits has actually
helped its clients.
Contact us
bestbeninfo@HumanArc.com
1. SSI
Monthly Statistics, March 2007, Table 2, SSA Office of Policy.
2.
Kaiser Family Foundation Publication #7202, 10/21/04. |
