Cost Containment Solutions
What is Cost Containment?
Cost containment is risk management strategy that can help identify cost savings and reduce claims expenses, without sacrificing member experience.
How it works
BCS’s team of experienced clinical staff have extensive knowledge assisting with large claims and deep relationships with third-party vendors and advocacy groups. As large, high-cost claims occur on our stop loss or reinsurance block, our team can provide proactive analysis, case management and recommend a number of cost containment partnerships to support clinical interventions and help manage unnecessary spend.
Real-life cost savings
Neonate treatment – nearly $1M in savings
A premature newborn was born with cardiac failure, and ultimately received a heart transplant out-of-state, resulting in $5.5M paid by Plan. Through billing audit cost containment, nearly $1M in savings were refunded to the Plan
Hemophilia case management – $5M in savings
A 30-year-old Hemophilia patient was receiving specialty Rx estimated at over $7M per year. With coordination from patient advocacy groups, treatment plans were updated to save over $5M, along with improved quality of care