While healthcare costs have risen dramatically over the past decade, Cost-containment refers to the practice’s companies utilize to maintain the lowest expenditure levels possible for healthcare costs. A primary focus is placed on thoughtfully reducing unnecessary expenses, prevention of unnecessary spending and focusing on quality or care while cutting costs. Cost-containment focuses on ways in which companies can reduce spending, without compromising the level of care their employees receive.

The Jalih Health platform empowers effective care management, PPO repricing, business intelligence, and automated efficiencies to help enhance quality of care and patient outcomes while significantly reducing utilization and costs.

Learn about our cost containment solutions and how Jalin Health can support your needs.

• Lower utilization rates with coordinated care: Jalih Health care management, UM/UR, and disease management give you the full toolset for medical management negotiations, data-driven utilization review, wellness services, and monitoring/management of high-dollar claims.
• Enable significant savings: Jalih Health enables effective medical cost reduction through advanced PPO repricing, Medicare Advantage repricing, claim negotiations, and maximum network discounts (primary, wrap, and supplemental).
• Rapidly respond to critical conditions: Payers keep costs from spiraling out of control through early identification of outliers and critical health issues. Jalih Healthempowers you with configurable alerts, automatic audits, incisive health risk assessments (HRAs), and responsive reporting.
• Enhance automation and efficiencies: Jalih Health empowers efficient fraud, waste, and abuse (FWA) detection, automated claim editing, automated calculations and processing of network fees, and efficient electronic workflows through powerful EDI solutions.
• Effectively predict costs: Jalih Health powerful business analytics (BI/BA) enables predictive modeling and data mining to control costs and maximize health benefits by providing actionable intelligence for effective cost containment.