About HDM

HDM was the first company in America to model employee health benefit plans and use data-driven metrics to monitor plan performance.

We offer the most comprehensive benchmarking system available, and, in 2008, introduced the only analytics service of its type available, BenefitsWatch, for continuous monitoring of health plan expense.

Both BenefitsWatch and our retrospective claims audit, BenefitsAudit, utilize our unique five-step protocol that analyzes 100-percent of claims for the audit period. Our 100-percent-of-claims methodology has been proven in an independent study to be far superior to the random-sample method of auditing health plan claims. To find out more, click here to download the study.

We have extensive experience in all facets of employee health benefits, and we’re staffed with experts in health benefits, auditing and technology.

HDM is the leading independent resource for maximizing the value and accountability of self-insured health benefit plans that are managed by plan administrators and Pharmacy Benefit Managers (PBMs).

We have audited literally all of the major administrators and PBMs in America. In a typical year, we perform more than a hundred audits of all types for corporations, Taft-Hartley plans and government entities, and consistently realize impressive cost savings for our clients.

Unlike plan administrators, who also provide plan analytics of a sort, HDM is completely unbiased. Our only business is supporting self-insured employers in their contractual right to audit their plans.

We offer three types of services:

BenefitsAudit – A retrospective audit to determine if your plan administrator(s)/PBM(s) are compliant with your contract Administrative Services Only (ASO) and Summary Plan Description (SPD) – and, in the case of public corporations, assure that you’re meeting Sarbanes-Oxley requirements.

BenefitsWatch – Unique in the industry, BenefitsWatch analyzes clinical data from a financial perspective, and includes 100 percent of claims data provided in a monthly data feed from plan administrators and PBMs. The deliverable: quarterly reports interpreted by our experts. Unlike a retrospective audit, savings are realized beginning with our first issuance of quarterly reports. Conceptually, BenefitsWatch is in step with the leading edge practices of continuous auditing and continuous monitoring being advocated by the Institute of Internal Auditors. BenefitsWatch provides continuous monitoring of health plan claims expense.

The effectiveness of BenefitsAudit and BenefitsWatch are assured by one common denominator, our unique five-step protocol that analyzes 100-percent of claims for the audit period. We’ve heard of other companies like ours asserting that they analyze 100 percent of claims, but we know of no one that follows the protocol we do to achieve audit excellence. Our 100-percent-of-claims methodology has been proven in an independent study to be far superior to the random-sample method of auditing health plan claims. To find out more, click here to download the study.

Specialized Audits, including dependent eligibility and hospital bill audits.

All services are provided directly by HDM. We do the numbers crunching, create the reports and make the recommendations. We spare our clients the hassle and expense of absorbing new software or getting colleagues up to speed on a Web-based software product.

Clients
Our clients include self-insured Taft-Hartley plans, governmental entities, including a number of states, and public corporations clustered in nine verticals: Automotive, Consumer Products, Financial Services, Healthcare, Manufacturing, Telecommunications, Transportation, Travel and Leisure and Retail.

To discuss how HDM’s cost containment solutions for self-insured employers can benefit your organization, contact HDM today at 800.859.5119 ext. 1 or e-mail your inquiry to: info@HDMinc.com.