Group Plan >> Plan Pricing Support

ECT has developed models to evaluate plan pricing including:

  • Costs associated with plan usage
  • Changes in market place costs
  • Impacts of changes of drugs going generic

An evaluation of a plans claims can be performed quickly  to:

  • Determine performance and identify contract gaps.
  • Repricing at the claim detail level for financial contract compliance.
  • Impacts of maximum out of pocket expenses (MOPS)
  • Member cost-share review, including Wrap Plan co-pays, LICS co-pays, and TrOOP limits, with special considerations for claims which can be part of the plans.