Precis Integrated Health Plans

Hawaii-Mainland Administrators, LLC. (HMA), a leading provider of third party health benefits and administrative services throughout the southwest and Hawaii, is announcing the launch of its Precis IntegratedHealth Plans (Precis). Precis is a suite fully integrated health plans which includes comprehensive health plan designs, corresponding plan documentation, administration, care management, PBM, population management and Referenced Based Pricing (RBP). “This expansion in domestic markets with Precis’ reference-based plans is a natural extension that reflects the success we’ve achieved in Hawaii,” according to Paul Carter, COO & CFO. “We had to overcome the challenge of competing in a market that is dominated by a Blue’s Plan”. Precis combines superior products and services with competitive and fully defensible provider reimbursements – all of which is key to being competitive on the mainland. “Clearly we believe that converting traditional charge-down-reimbursement models to a cost-plus reference-based reimbursement model translates to competitive premiums,” according to Leao Light HMA’s Vice President of Operations. Precis is different than traditional RBP based plans. It was developed to address the issues other plans have faced.Precis focuses on pricing transparency which is the next evolution in consumer–driven care. These Plans engage the member on several fronts including providing a range of Plan options to meet their lifestyles. Précis utilizes US HealthCenter’sPredictiMed™ Population Health Management solution suite, a proven approach that “engages members and reduces risk for the most expensive and debilitating conditions, a truly unique opportunity for plan sponsors to reduce healthcare costs”, states USHC President Gavin Quinnies. HMA’s RBP partner HST, believes in “Paying providers based on value and objective cost versus volume discounts off billed charges” according to Ryan Day, President, HST. For more information about the Precis Integrated Health Plans contact Paul Carter at 480-921-8944

HMA is the leader in providing superior health plan administration services. HMA brings an un-matched combination of experience, knowledge, risk management, technology and dedicated customer service to its clients. HMA is a SSAE16 Certified health plan administration company which provides a level of products and services that far exceed “processing a claim”. Examples include extensive insurance based services, accounting and reconciliation services, population management and wellness programs, and Precis Technologies, HMA’s wholly developed and owned state-of-the-art health plan administration information technology system.