Health plan administration business plan

The company will concentrate on employers with 50 to employees. While the majority of employers with or more employees have at least some element of self-insurance incorporated into their health care programs, our target market is often ignored by the major national insurance companies. The market for self-insured and administrative services consist of those companies that are currently self-insured and companies that have other types of health plans that will be encouraged to shift to self-insurance.

Health plan administration business plan

health plan administration business plan

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While the majority of employers with or more employees have at least some element of self-insurance incorporated into their health care programs, our target market is often ignored by the major national insurance companies. The market for self-insured and administrative services consist of those companies that are currently self-insured and companies that have other types of health plans that will be encouraged to shift to self-insurance.

One factor in the transition to self-insurance is the availability of quality administrative and consultative services. Southeast Health Plans, Inc.

The key to success for Southeast Plans, Inc. Adequate professional sales staffing is essential. The company must then expand a successful formula throughout Southeastern markets. Cost control, particularly with regard to sales and marketing programs, will enable controlled expansion that is fully funded by internal cash flow.

To initiate co-operative marketing utilizing Blair Mill advertising executions with media in the Atlanta metro market. To hire sales staff both currently identified and unidentified to implement sales lead follow-up strategy.

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To have at least 4, cumulative employees under management by the end of To shift to earnings in year three and to accelerate gross margin contributions by building market maturity on top of infrastructure. To expand regionally with both media and sales personnel to penetrate new markets while consolidating service capability.

To constantly achieve cost benefit through an expanding provider network while not compromising patient care. To have more than 98, cumulative employees under management by the end of year five.

By combining self-insurance with stop-loss programs and efficient plan administration Southeast will provide to its clientele, both employers and employees, the best of health care with the minimum of restrictions and the broadest individual choice of providers.

Southeast will deliver a balance of quality care and freedom of choice at a fair price. Southeast Health Plans will have the ability to sell both directly to employers and through independent insurance brokers and agents. It will be necessary to establish name recognition among more established programs.

The services provided by Blair Mill Administrators are already state-of-the art among small-employer providers. The value added experience of the Southeast Health Plans, Inc.

It is a necessity that clients maintain satisfaction both with service and plan cost to minimize client erosion and to combat competition. Growth needs to be aggressive with rapid expansion to new geographic markets but also must focus on profitability.

Each established market must mature as new markets develop so that growth can be internally funded. Cash flow management is essential.We support America's small businesses. The SBA connects entrepreneurs with lenders and funding to help them plan, start and grow their business.

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Background. Health Plan Administrators, LLC is a TPA (Third Party Administrator) headquartered in Youngstown, OH. Our managing principals have a long, successful tradition in the industry.

The software system that is utilized is an internet based claims system and is a state of the art claims adjudication system. Occupational Safety and Health Administration U.S. Department of Labor OSHA R A Business Plan is crucial for starting and running your business successfully.

Sound business plans can help you get a loan, keep you on track toward your goals, and provide a reference for benchmarking, reviewing results and making adjustments in your business. Southeast Health Plans health plan administration business plan financial plan.

Southeast Health Plans, Inc. is a start-up service company that will provide health plan administrative services to self-insured employers. The Veterans Health Administration (VHA) is the component of the United States Department of Veterans Affairs (VA) led by the Under Secretary of Veterans Affairs for Health that implements the healthcare program of the VA through the administration and operation of numerous VA Medical Centers (VAMC), Outpatient Clinics (OPC), Community Based Outpatient Clinics (CBOC), and VA .

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