Our program combines independent administration, innovative design, analytics, and cost efficiency for a next-gen healthcare solution. Leading Edge Administrators (LEA) advocates for clients, free from network or pharma ties, reducing costs and driving lasting success.
Optimizing plan performance requires broad in-network options and strong discounts. Lead Edge Administrators claims platform enhances PPO networks, cutting costs, ensuring fair provider compensation, and offering nationwide access through the nations most trusted PPO network.
Key Benefits:
- Over 1.7 million facilities and practitioners across all 50 states, ensuring coverage where it’s needed most. The scope of the network maximizes provider availability while reducing out-of-network claims and enhancing member satisfaction.
Leading Edge Administrators comprehensive benefits administration focused on maximizing plan performance and reducing costs through advanced claims management and experienced personnel.
Key Benefits:
- Plan Design: Tailored plans to reduce over-utilization and financial strain for optimal value.
- Experienced Team: Staff avg.15+ years of expertise to tackle complex healthcare needs.
- Data-Driven Insights: Analytics reveal high-cost claims, trends, and utilization for smarter decisions.
LEA’s AI-driven techniques and experienced professionals who detect waste, fraud, and inefficiency in real-time.
Key Benefits:
- Prepayment accuracy, post-payment recovery, custom analytics, and reporting.
- Delivers ~ Consistently outperforms expected claims as determined by the Program actuaries.
- Uses varied claims mitigation strategies.
- Implements strong cost containment.
LEA reduces pharmacy costs by up to 30% through strategic partnerships, analytics, and targeted cost-containment programs.
Key Benefits:
- Transparent Reporting: All RX rebates returned to the plan sponsor.
- Exceptional Formulary Management
- Innovative PBM Partnerships
- Specialty Drug Cost Containment Programs
Comprehensive protection against high-cost claims with access to industry-leading insurers.
Highlights
- Lower premiums and optimized terms for significant financial savings.
- Mitigates company risk or exposure to catastrophic claims.
- ProVision plans are rated with lower premiums and favorable terms than tradition plans.
- The Company We Keep: Gerber Life & Nationwide.
- Proven claims experience, effective tools.
- Offers unmatched discounted rates.
Dedicated support for finding in-network providers, managing claims, and clarifying benefits.
Key Benefits:
- Single point of contact - dedicated assigned customer service representative for the duration of the claim.
- Increased satisfaction.
- Minimized healthcare navigation hassles
- US based service team
Our program's collective strengths—independent administration, innovative plan design, superior analytics, cost efficiency, and an enhanced stop-loss program—offer a next-generation Healthcare program.
Comprehensive Program: Integrates all key components (benefits admin, claims analytics, concierge services, pharmacy cost containment, stop-loss insurance, and network partnerships)
Transparency and Cost Control: The program offers complete transparency in pricing and claims processing, with a focus on controlling costs across all areas.
Member Advocacy: Prioritizes the needs of members, ensuring they receive the best possible service and outcomes.
Leadership and Experience: LEA, headquartered in New York with significant operations in Tampa, Florida, has the experience and expertise to deliver a cohesive program that outperforms traditional models.
Key Partnerships: LEA’s ability to partner with industry leading companies throughout the healthcare space creates a solution that works within the existing system while advancing and improving outcome.
