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© 2015 by Accountable Care Solutions Group, LLC

About

ACSG and The Key Family

READ OUR STORY

The Key Family was founded in 1979 as a full-service group benefits administration firm specializing in self-funded medical plans. Since that time the Key Family has grown to become one of the country’s largest independently owned third party administrators, supporting a wide variety of group benefit plans and fully insured arrangements. With its two major locations in Indianapolis, Indiana, and Fort Mill, South Carolina, the Key Family is a commonly held group of benefits-related organizations with over 900 employees, over 4,000 corporate customers, and over 2 million members under management.

Latest article from Becker's Hospital Review:  "Provider-let Health Plans in the age of ACE Repeal."

Integrated, Patented + Proven

Population Health Management

ACSG/Key Family - Points of Differentiation:
 

Stop Loss Reinsurance:

  • Managing General Underwriter (MGU) – Highly rated stop-loss partners with "favored-nation" relationships and pricing

 

Network Development and PPO Wrap Networks:

  • 20 +  years’ experience

  • Access to over 85 wrap PPO networks

  • Network agnostic - we do not own or manage provider networks - we are a vested partner with the medical provider community

 

TPA Administrative Services:

  • National administrator for multiple insurance product carriers, including:

    • Companion Life, Fidelity Security Life, HM Insurance Group, ING, and TransAmerica

    • Administrative Systems- Claims, Customer Service, Fulfillment, Compliance, Data Reporting

  • Core Competency in complex health care administration

    • Over 30 years of self-funded and insured medical plan management experience

  • Integrated Healthcare Risk Management (HRM) solutions

    • A proven track record of reducing claims costs

  • Exceed all industry benchmarks for financial, procedural, and processing accuracy

  • Administrator and population health data warehouse for several fortune 1000 companies

 

Population Health Management:

  • Patented Population Health Management process in place for over 12 years

  • Data Warehouse containing 12 terabytes of claims, biometric, Rx, health risk assessment, and encounter data

  • Real-time access to data analytics:

    • Population risk stratification and predictive analysis

    • Gaps in care analysis

    • Clinically based physician profiling

  • Integrated Chronic Disease Nurse Coaching

  • Over 40 payers extract data to our warehouse, including insurance carriers and Third Party Administrators (TPA)

 

Marketing and Sales:

  • Private-label programs with branding opportunities

  • Access to major national and regional agency relationships

  • Proven sales and marketing distribution system

 

Gain Sharing Models:

  • Methods for calculating employer favorable variance

  • Calculations for defining distribution model based upon key metrics

  • Practice improvement data

  • Completely transparent