US Beacon (USB) conducts compliance analysis review of medical claims for corporate and government health care and workers compensation plans. The compliance review identifies ineligible charges along with fraud, waste and abuse issues that the plan’s TPA and/or carriers are not equipped to identify. The results save plans millions of dollars and provides their employees with a better health benefit at a much lower cost. On average, USB finds over 30% ineligible claims and savings on 99% of the claims they review. In many cases USB finds savings that exceed 80%. The effect to the plan’s total healthcare expenditures average 6% to 10% savings. There is no charge unless USB saves the plan money. USB helps provide the plan managers, trustees and administrators with transparency and control of their healthcare expenditures.
Sector
K-12 Education
Higher Education
State & Local Government
US Beacon provides clients with a complete menu of cost containment solutions through a unique business model by utilizing a combination of artificial intelligence and hands on human review.
US Beacon Contract Documentation
U.S. Communities, National IPA, & NCPA are wholly-owned subsidiaries of OMNIA Partners, dba OMNIA Partners, Public Sector. All public sector participants already registered with National IPA, U.S. Communities, or NCPA continue to have access to all contracts, with certain exceptions, in the portfolio and do not need to re-register to use a legacy National IPA, legacy U.S. Communities, legacy NCPA, or new OMNIA Partners contract. U.S. Communities, National IPA, and NCPA remain separate legal entities and lead agency contracts completed under each brand are effective and available for use through the contract’s approved term. In the event we believe re-registration is necessary for any reason, OMNIA Partners will let you know.
Compliance and Cost Containment Strategy and Management of Healthcare Costs
Region 14 ESC - TX
Contract Number: 09-20
September 1, 2022 - September 30, 2025
Option to renew for two (2) additional one (1) year periods through September 30, 2027