We partner with AIMM to create unique medical management strategies, based on our clients’ culture, population, goals, objectives, and budget. We understand that the most effective, most well received, medical management programs are “Patient Centric”, so through AIMM, we offer evaluation by professional nurses to identify how the quality of health care a patient is receiving can be improved, and/or decrease the cost of the care a patient is receiving.
Contact Consociate Health to learn more.
Pharmaceutical benefits can be a significant cost driver for business owners, accounting for 30-32% of overall healthcare costs.
Consociate Health now offers pharmacy benefit management to our clients by administrating employer drug benefit programs. Within this new division, we will evaluate pharmacy spend, process and pay prescription drug claims. We will advise on cost containment and incentivize prescribing physicians, pharmacists, and plan members to influence decision-making and save you money. Our expertise goes beyond traditional pharmacy benefit management services. Through our knowledge of underutilization and intensity, supply chains, codes and precertification, along with our process of gathering key data sets, we are able to provide solutions based on your unique situation and employees.
To learn more about our value-based benefits, contact Consociate Health today.
2020 marks our 25th anniversary! Founded in Decatur in 1995 by Danny R. Reynolds, Consociate Health is a Third Party Administrator (TPA) that administers employee benefit programs, including claims administration, for employers and members in 48 states. As industry innovators, we have been recognized in medical and Flexible Spending Accounts (FSA) administration, health management, wellness program initiatives, and Affordable Care Act (ACA) compliance and consulting.
Consociate Health has grown to 80 employees today with staff in two Illinois locations, along with Indiana, Michigan, Missouri, Tennessee, and Florida. Consociate Health currently serves approximately 75,000 covered lives for 235 employer groups (Medical and FSA). In 2019, nearly $500 million in medical claims were processed with a 99.77% financial dollar accuracy rate, well above the industry average.
Consociate Health has been working diligently to address the extraordinary escalation of healthcare costs by partnering with our clients to develop custom and comprehensive care management programs. Consociate Health works with clients on medical plan design and cost containment opportunities including Wellness Programs, Custom Precertification, Utilization Review, Chronic Disease Management, Cancer and Dialysis Claim Management, Predictive Modeling and Pharmacy Benefit Management. Consociate’s goal is to become a partner in managing an employer’s healthcare budget and improving the health and productivity of their employees. We look forward to the next 25 years!
To Our Valued Clients:
As a family-owned, Christian-values-driven company, we are focused on the health and well-being of our employees, clients, their members and those communities we serve. And in this time of concern and uncertainty around the spread of the COVID-19, we want to assure you that Consociate Health and our underlying business continuity plan emphasizes our commitment to serving you and your employees.
We recognize this is a fluid situation, and to be prepared for any foreseeable potential disruption in business due to the spread of the virus, we are…
In addition to these actions, please find confidence that…
If you have any specific concerns, please reach out to your Client Relations Consultant or e-mail customerservice@
Sincerely,
The Consociate Health Team
Consociate Health is working diligently to prepare our staff, brokers, and providers for your important questions related to the COVID-19 virus. In addition, our internal preparedness plan will ensure our talented team is safe and available to serve you. Click below for employer resources from the World Health Organization and Centers for Disease Control, and stay tuned for additional updates from Consociate Health.
Employer Resources:
This week, Consociate Health celebrates our 9-year anniversary with Ault International Medical Management.
Thank you Nurse Deb Ault and Chris Ault for a productive day planning our future to disrupt the industry, not the employees.
We are grateful for this impactful strategic partnership with AIMM that has delivered impressive ROI results, and look forward to what it will bring to both of our organizations in the next 9 years.
Earns Evangelism Award
Decatur, Illinois — Consociate Health has been honored by WEX Inc. with a 2018 Partner Excellence Award for outstanding business achievements. Consociate Health received the Excellence Award for Evangelism at WEX SPARK Health 2019, the annual WEX Health Partner gathering held recently in Miami Beach, Florida.
Consociate Health was selected for the award because of its accomplishments in developing and delivering innovative and creative concepts that produce robust card growth. Consociate Health readily offers references and exceeds in the areas of service, evangelism, and leadership.
“We are honored to be recognized by WEX,” said Darren Reynolds, President and CEO of Consociate Health. “WEX has been a key partner of ours since 2005, and has continuously made it possible for us to better serve our clients.”
The Excellence Awards, established in 2008, are presented yearly and recognize WEX Health Partner organizations that have achieved extraordinary notable accomplishments. Award recipients were recognized for reaching significant milestones in 2018 across several areas including growth, evangelism, leadership, innovation, and customer service as well as overall outstanding Partner successes.
The 2018 Partner Excellence Awards were presented in 14 categories: Growth Excellence, Evangelist, Innovator, Market Maker, Sales Excellence, Service Excellence, Solution Visionary, Leadership, New Partner of the Year, COBRA Partner of the Year, Billing Platform Partner of the Year, Technology Solutions Partner of the Year, CDH Platform Partner of the Year, and Partner of the Year.
For more than 40 years, Consociate Health has partnered with employers of all sizes to deliver employee benefit program consulting and administrative services. As a Third-Party Administrator (TPA), Consociate has built a reputation for exceptional accuracy, customer service and a focus on helping employers with innovative cost containment solutions.
Latest addition to leadership team continues expansion of community-focused healthcare model in the Midwest and Southern US
DECATUR, IL – Third-Party Administrator (TPA) Consociate Health today announced healthcare industry veteran Scott Barnes as the new Vice President of Business and Network Development. Barnes, based in Tennessee, is the latest in a series of top-level executive hires by Consociate as they aggressively expand their community-focused healthcare model throughout the US.
Scott Barnes is a respected sales and marketing leader with almost 30 years of experience in the healthcare industry. Scott will lead the Consociate team in developing and managing the company’s Direct to Employer High Performance Networks.
Barnes comes to Consociate after more than 25 years with HealthSCOPE Benefits St. Louis. Previously serving as a vice president of operations for a St. Louis hospital, Scott became Director of Network Management at HealthSCOPE in 1993 and then led HealthSCOPE Benefits Network Service and Analytics Division until 2009. For the last 10 years, Barnes served as vice president of sales at HealthSCOPE. Scott contributed to a 300% growth of HealthSCOPE Benefits over the last 10 years. During his tenure, Scott developed relationships with strategic medical captive partners and developed a hospital based Community Care Network which utilized direct preferred contracts with key hospital partners and associated physicians, significantly reducing the cost of care in the market.
“Consociate’s growth is focused on developing a team that thrives in our culture of innovation and progress. As we expand nationally, Scott’s expertise in healthcare network development will advance our strategy of building and managing Direct to Employer High Performance Networks and bringing together select high quality/low cost health systems and employers in mutually-beneficial partnerships,” said Consociate President Darren Reynolds.
“We are aggressively growing to meet the needs of clients and we’re excited about the future of Consociate as we engage some of the top leaders in this field to guide our team,” he added.
Barnes is the second recent addition to Consociate leadership. In April, Ziad Rubaie joined Consociate Health as Chief Business Development Officer. His expertise in bringing together strategic healthcare partnerships that drive solutions for clients and their members is highly respected in the industry.
Barnes said, “Employers want clarity in a market where true costs and quality of care are difficult to identify. As Vice President of Business and Network Development, I will lead our team in developing and managing those networks. I joined Consociate Health because I share the vision that an independent TPA in partnership with employers and select high performance providers can reverse run away medical cost and improve member health.”
Existing partnerships with nearly 20 healthcare systems have allowed Consociate to perfect its community centric model using data integration strategies and data driven decision support resources. That success, and the need for more patient-centered service from TPAs industry-wide, led to the decision to expand.
For more than 40 years, Consociate Health has partnered with employers of all sizes to deliver employee benefit program consulting and administrative services. As a Third-Party Administrator (TPA), Consociate has built a reputation for exceptional accuracy, customer service and a focus on helping employers with innovative cost containment solutions.
Through data analytics, Consociate provides its clients with personalized analysis of their plans to ensure they have quality data and are using that data to make educated decisions.
Essential data analytics allow Consociate Health to integrate claims, eligibility, financial and other healthcare data into a consolidated system database; analyze member health and then identify cost drivers; monitor health plan utilization; and forecast employer healthcare costs – which allows them to develop a strategy to manage and control healthcare costs for employers and members.
New Chief Business Development Officer Ziad Rubaie brings proven track record in building strategic partnerships to drive results for clients
DECATUR, IL – Illinois-based Third-Party Administrator (TPA) Consociate Health has developed a reputation for building strategic partnerships that deliver innovative solutions to its clients in today’s complex healthcare landscape. Today, the company announced an aggressive team expansion to deliver healthcare administrative services and high-performance network development throughout the US.
Existing partnerships with nearly 20 healthcare systems have allowed Consociate to perfect its community centric model using data integration strategies and data driven decision support resources. That success and the need for more patient-centered service from TPAs industry-wide, led to a decision to expand.
Spearheading these efforts will be Ziad Rubaie, a respected sales and marketing leader in the Healthcare industry with more than 24 years of experience leveraging an impressive network of healthcare consultants to build strategic partnerships. Ziad comes to Consociate after a 9-year successful tenure at CastiaRx, formerly known as LDI, where he established and delivered nationwide pharmacy solutions that exceeded industry results. He also developed unique value propositions that positively impacted PBM services and overall business development opportunities.
Ziad, also, served as Executive Vice President of Sales and Marketing for Essex Dental & Vision Benefits, a subsidiary of Delta Dental of Missouri. During his tenure, he oversaw a greater than 318 percent growth in revenue for Essex. Rubaie started his healthcare career in 1995 with many roles including Assistant Vice President of Sales Healthscope Benefits.
“Consociate is always looking for talent that advances our culture of innovation and growth and we continue to recruit leadership that have track records of delivering proven solutions. Ziad’s expertise in bringing together strategic healthcare partnerships that drive solutions for clients and their members is highly respected in the industry and we are excited to welcome him to our team,” said Consociate President Darren Reynolds.
For more than 40 years Consociate Health has partnered with employers of all sizes to deliver employee benefit program consulting and administrative services. As a Third-Party Administrator (TPA), Consociate has built a reputation for exceptional accuracy, customer service and a focus on helping employers with innovative cost containment solutions.
Through data analytics, Consociate provides its clients with personalized analysis of their plans to ensure they have quality data and are using that data to make educated decisions.
Essential data analytics allow Consociate Health to integrate claims, eligibility, financial and other healthcare data into a consolidated system database; analyze member health and then identify cost drivers; monitor health plan utilization; and forecast employer healthcare costs which allows them to develop a strategy to manage and control healthcare costs for employers and members.
Earlier this month, Consociate was recognized on a national stage for excellence in data accuracy, using key analytics to transform the customer experience. The Illinois based company received the Commitment to World-Class Data award at the 4th Annual Benefit Focus Celebrate Community Awards, recognizing companies that have transformed the benefits experience for their employees and consumers, empowering them to make the best decision for their personal needs.
As reported on Nashville Medical News, Yahoo! Finance, Daily Herald, WSIL, Virtual Strategy Magazine, and CISION PRWeb
Benefitfocus awards Consociate Health industry-wide recognition for transforming the benefits experience for their customers through data accuracy
DECATUR, IL – Illinois-based Third-Party Administrator (TPA) Consociate Health has been recognized on a national stage for excellence in data accuracy, using key analytics to transform the care management experience. Consociate Health received the Commitment to World-Class Data award, from Benefitfocus, at their 4th Annual “Celebrate Community” Awards. Consociate Health was selected among a strong pool of finalists including TPA national industry leaders like Capital District Physicians’ Health Plan, The Hartford, MetLife, and Nova Healthcare Administrators.
“This award displays Consociate Health’s commitment to deliver data that impacts the efficiency of care management decisions, improves outcomes and lowers health plan costs for our clients”, said Consociate Health’s President, Darren Reynolds. “This meaningful health plan data, the efforts of our team and our partnership with Benefitfocus, allows us to manage health care costs for employers as well as enable health care systems to make the strongest possible recommendations related to treatment of chronic conditions.
Through data analytics, Consociate Health provides its clients and/or their consultants with personalized analysis of their health plans to ensure the use of quality data in making educated decisions. Essential data analytics allows Consociate Health to integrate claims, eligibility, financial and other healthcare data into a consolidated system database; analyze member health and then identify cost drivers; monitor health plan utilization; and forecast employer healthcare costs which allows them to develop a strategy to manage and control healthcare costs for employers and members.
“We believe in order to truly perform a valuable service to our clients and their plan members, we need to be more than just a claims processor. We pay claims, and we pay them accurately, but it’s what we do with the claims data that sets us apart,” Client Relations Consultant Sarah Bigger said. “World-class data, delivered via the Benefitfocus platform, gives us the necessary information to help an employer manage their healthcare budget and improve the health and productivity of their employees.”
Consociate Health has been an innovator in integrating population health analytics with health care systems for the management of their employee populations. Today, they integrate data and tools into health care systems’ Accountable Care Organizations (ACO’s), Clinically Integrated Networks, wellness programs and direct to employer initiatives. The deployment and integration of data and these support tools in improving the health of the communities they serve was a key factor in earning this award.
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