Managed Care
PBA finds the appropriate customer satisfaction balance between cost control and steering members to the care they need.
Cost Management is Accomplished Through
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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.
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Data Mining
To identify and manage chronic conditions when early intervention and education can help reduce long-term costs.
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Specialty Condition Management Programs
That help control the costs of high-priced medical treatments, such as cancer, transplants, and dialysis.