PBA finds the appropriate customer satisfaction balance between cost control and steering members to the care they need.
Cost Management is Accomplished Through
Strong Precertification, Utilization Review, and Care Coordination Programs
Offering members peace of mind that services will be covered by the plan before the services are incurred.
To identify and manage chronic conditions when early intervention and education can help reduce long-term costs.
Specialty Condition Management Programs
That help control the costs of high-priced medical treatments, such as cancer, transplants, and dialysis.