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MBA's The Open Solution is an innovative medical benefit program that cuts costs

You can expect a 25% decrease from previous plan year costs

The Open Solution’s™ auditing and re-pricing formula provides greater savings than standard discounts. This increases your organization’s cash flow and stops the ever-tightening squeeze on your employees’ paychecks.

Open Networks

Because our plan doesn’t rely on forcing employees into networks to obtain dubious discounts, your employees are free to see any provider and use any facility. This allows people more freedom and control over their healthcare.

Chronic Conditions

Pro-active medical case management helps to prevent costly medical stays and procedures by utilizing nurse case managers throughout the continuum of care; preventative coaching, episode management and maintenance consulting.

Open Access

Easily solve multi-state issues by offering the same benefits to all employees throughout the US. Our plans are governed by ERISA, not the State. No network restrictions mean simpler administration and reduced costs.

“The only way to pay less for health care, is to pay less for health care.”

—Dr. James Robinson, Director of Health Policy, University of California Berkeley

Isn’t it time to take a different approach to your medical benefits?

One that empowers your organization to take control of your health care costs? Let The Open Solution™ work for you.

The Open Solution™ is the collaboration of three high-powered cost containment strategies. These proven approaches will substantially reduce the costs of providing health benefits to your employees. The plan gives organizations control over the price they pay for healthcare and employees the freedom to choose which providers and facilities to use.

The Open Solution™ SIGNIFICANTLY REDUCES healthcare costs and health insurance premiums for organizations with 100 or more employees.

Implementing The Open Solution™ will enable your organization to retain cash flow and improve the financial health of your business. It’s time to stop the ever-tightening squeeze on your employees and your organization’s finances.

The Open Solution™ approach to reimbursing claims is based on pure transparency. This formula provides a substantial reduction in hospital costs.

You should be paying for medical goods and services in the same manner that your corporation buys everything else – with transparency and upfront knowledge of costs. Our methodology works and is being used successfully by corporations large and small, municipalities, school districts, tribal nations, unions and non profits.

mba-logo-tallPowered by MBA Benefit Administrators.

Abraham Lincoln said, “Our commitment is what transforms our promises into reality. It is our words that speak boldly of our intentions, and our actions which speak louder than words. It’s being on time when we promise. It’s coming through time after time, year after year after year.” And that is our commitment to you.

elap logoELAP

With transparent pricing, objective and fair reimbursements for medical providers and their support teams, ELAP works to reduce the cost of providing health insurance and medical care. These services are provided to groups such as businesses, schools, and municipalities, and their employees.

Actual Saving Because of TheOpenSolution™

car

Experienced a 60% Savings On Health Insurance Claims

Automotive Business in North Carolina – Has not seen an increase in premiums since beginning on the plan. Hospital and health facilities have accepted dramatically reduced payments for services based on The Open Solution’s™ auditing and re-pricing formula. They have experienced a 60% savings on claims.

texas

Reduced dialysis treatment from $10,000 to $975

Texas Service Company – Dropped Blue Cross PPO and reduced premiums by 68%. Additional savings allowed the company to provide free vision, dental and life insurance and establish a free medical clinic on-site for employees and their dependents.

newborn

$1,349,949.49 Million Claim Was Re-priced at $187,277.33

NICU baby in UtahThe Open Solution™ saved one company from paying a $1.3 million dollar claim, using an auditing and re-pricing method. Their total payout was only $187,277.33, an 87% savings off of billed!

Contact Us

Learn more about how The Open Solution™ can work as the healthcare advocate for your organization. We provide medical case management, third party administration, fiduciary protection and  auditing and re-pricing services that bring your organization big savings. You are making a decision to contain your medical expenditures, and protect your financial interests while maintaining a high quality care for each and every plan member. You are not alone in the quest to provide necessary benefits and to navigate to pitfalls of the healthcare industry. We’re with you every step of the way!

Phone: 1-855-743-6070 (toll free)
1-801-743-6070 (local)
Mail: P.O. Box 57340
Salt Lake City, UT 84157-0340
Email: info@theopensolution.com

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...with powerful health care and claims management systems to save them money.
We believe your investment in a health plan should be treated like any other aspect of your business, with upfront knowledge of the costs and all attempts to weed out waste. MBA saves employers more than nickels and dimes with many methods of management, including: Metrics Based Pricing: Why rejoice over a 30% discount on a claim that is 1000% too high? Metrics Based Pricing reduces claims to a “cost of service + reasonable margin” level by auditing claims for unfair markups and inaccurate or fraudulent billing. This results in an average $1500 per employee savings – AND WE DO IT WITHOUT RESTRICTIVE NETWORKS! Medical Management Services: Proven to reduce hospital admissions and the average length of stay. HealthSteps™: Wellness plans and initiatives that do make a difference in the overall health of your workforce and drive down health claims. Prescription Benefit Management: With an average reduction of 9.4%. Internet Prescription Bidding: Allowing employees to save up to 87%. Actuarial Projecting: The projection of benefit costs and savings is one of our underwriting core competencies. Go ahead – suggest benefit changes, add or drop a plan component, change eligibility: MBA will accurately determine the financial impact on the plan and offer suggestions to tweak the benefits to suit your objectives. We offer the facts then you call the shots.
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We're neighbors you can talk to...
Where else can you get a direct line to a claims adjudicator, plan manager or even the President of the company? Only at MBA Benefit Administrators. We’re the big third party administrator for health plans with personal service that you can only wish others would provide. Like talking to a friend over a fence, we have that neighborly feel…but we provide world class advantages.
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With “outside the box” flexibility in health plan administration…
Since 1987 MBA Benefit Administrators has successfully served large and small employers, public entities, associations, tribal nations, school districts, non-profit organizations and insurers. We have the capability to administer anything from single-plan 25-life groups to complex employee organizations with multiple medical, dental and vision benefits or employees in multiple states. We also provide a wide array of ancillary services such as COBRA and HIPAA administration and HSAs. When you discover:

  • The depth of our experience
  • The flexibility we offer in benefit design
  • Our commitment to technology to make your life easier
  • Our can-do attitude toward service

 

…we’re confident you too will see why MBA is a national leader in third party administrative healthcare benefits.

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…and we prove real solutions do exist for escalating healthcare costs.
We’ve received national kudos for our multiple, proven strategies which reduce claims and plan costs without harmful benefit reductions for our clients’ employees. Proof of MBA’s effectiveness in this is in the numbers. Our clients see:

  • An immediate average reduction of up to 25% in maximum health plan costs the first year,
  • Flat renewals after that, and because of this and our commitment to impeccable service…
  • Our clients remain with us an average of 12 years…an unheard of accomplishment in the health insurance industry.
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…and state-of-the-art technology for painless administration and integration of services, we make your life easier.
No one thinks about making your life easier and more efficient than MBA Benefit Administrators. Our technological investments are totally integrated across services so that employees and employers – with HIPAA-compliant and appropriate need-to-know safeguards – can view at a glance their standing for benefits, claims, plan reporting and other services. These advancements provide:

A Comprehensive On-Line Enrollment Wizard: Employee self-enrollment or HR department enrollment methods, including ancillary program enrollments and billings.

HR On-line Capabilities: View, adjust and approve on-line employee eligibilities; check claims status, print reports and plan documents all from one place.

Multiple Employee Access Channels: Employees can view on-line their claims status, eligibility and account balances of reimbursement plans such as HRA, HSA, Flex and Executive Reimbursement plans. In addition, we offer all employees our MBA App, where they can:

  • Carry a virtual ID card,
  • Check on the status of a claim,
  • Submit secure documentation to MBA,
  • Contact our support team,
  • …and more!

On-line Document Management: In one place view specific documents such as:

  • Plan Documents
  • Temporary ID Cards, and
  • Employee Communications and Forms

HSA Services Integration: MBA seamlessly integrates HSA plans with HealthEquity Services. Claims information is electronically transferred from MBA’s claims system to HealthEquity employee accounts. There is no need for paper claim filing or second-guessing the eligibility of expenses. Even employee eligibility is updated through MBA data feeds.

HRA Reimbursement Plans: MBA’s administration processes allow clients and their participants to rely on accurate and timely processing of reimbursements. Eligibility, billing and remittance of claims, integrated scanning and storage allow for real-time remote access.

Section 125 Flexible Spending Plans: MBA Benefit Administrators coordinates with employers to offer Section 125 Flexible Spending administration and help employees save money on medical expenses. Providing this benefit for your employees is like getting a 30% discount on Medical Premiums, uncovered medical expenses and dependent care.

COBRA Administration: MBA Benefit Administrators can handle all of your COBRA requirements. We will mail and track notifications, coordinate COBRA payments, receipts and reporting and ensure claims match “paid through” dates, plus give you on-line access to all activities.

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At MBA employers are cared for too…
MBA goes the extra mile to ensure that as an employer your health plan does not complicate your life. We give you things like:

  • Business intelligence for advanced reporting and critical analysis of your plan’s performance, costs, payouts, claims analysis and large claims submitted for insurance.
  • Billing and Funding services integrated with enrollment, customized to your specifications and handled electronically.
  • Account balancing systems produce cost accounting reports and perform bank reconciliation activities, available for review at any time.
  • And the ability to review multiple reports regarding your plan; check registers, active employee reports, YTD recaps, claims reviews and lots more.
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