Claims Data Analysis

Dubraski & Associates, along with our partner Zywave, provides state of the art tools to assist our clients with managing and structuring their benefit plans appropriately.

Claims Analysis Services include:

  • Claims and benefit plan analyses
  • Health management
  • Pharmacy benefit management solutions

In-depth Claims Analysis

We provide clients with a web-based claims analysis tool that empowers clients to manage and reduce claims costs. Using a specialized Zywave platform, Decision Master® Warehouse (DMW), we provide detailed information about claims-costs trends and help clients identify problems early.

Unlike cumbersome carrier reports, DMW provides information that is easy to read, organized, and illustrated with examples. With DMW, Dubraski & Associates can help you with claims analysis in new ways, turning complex data into meaningful information and powerful results.

Claims Application Services

  • Health Plan Management Report
    Detect problems with utilization and plan cost in this single- or multi-project comparison of your claims data against national norms
  • Rx Management Report
    Offer greater detail than pharmacy benefit management administrators in an easy-to-read report to help manage prescription drug costs
  • Drill-Down Module
    Slice your real health care and Rx claims data in countless ways, answering virtually any question
  • Alternative Modeling
    Experiment with plan design alternatives to see how plan changes will impact cost and participants
  • Disease Profiler™
    Budget better and negotiate more competitive rates with stop-loss carriers when armed with predicted costs of claims

Preferred Prescription Drug Pricing Program

In addition to claims analysis tools, our partnership with Zywave affords Dubraski & Associates clients access to a preferred prescription drug-pricing program. By leveraging the buying power of a nationwide client network, we can offer clients significant pharmacy benefit discounts from the largest pharmacy benefit manager in the United States.

Contact us for more information about how our claims data services can meet your needs.