PGN Consulting works with employers to analyze, benchmark, educate, design programs, reduce cost and enhance employee benefits for Self-Insured or Fully Insured companies:

  • · Medical, Dental and Vision Insurance

  • · Executive Benefits

  • · Consumer-Driven Health Solutions

  • · Long & Short-Term Disability, Life / AD&D

  • · Cafeteria Plans

  • · Supplemental Disability

  • · Voluntary Benefits

  • · 401(k) and other Retirement Solutions

  • · Predictive Analytics

Our team will begin by providing you with a clear assessment of your company’s current benefit situation, identifying any gaps or liabilities. Then, using a strategic approach that focuses on your specific needs, we will create a full financial and benefit analysis to help your company optimally accomplish its core strategic goals.

 

PGN Consulting prides itself on holding an objective eye when working with all providers suitable for each client’s needs. Our objectivity gives us the strength to negotiate with providers on our client’s behalf to deliver the most competitive rates. We ensure individual attention, and every day we remain dedicated to staying at the forefront of cutting-edge industry trends and innovations.

 

  • · Analyze current plans and programs

  • · Provide cost to benefit analyses, with predictive enrollment models

  • · Develop action plan(s) with short- and long-term objectives

  • · Negotiate with and manage vendor relationship(s)

  • · Simplify benefit communication and administration process through technology

  • · Develop communications, implementation, and enrollment strategies

  • · Become a resource for day-to-day claims and administration issues

 

About PGN Employee Benefits

Making Notes

CONSULTING

Analytics Capabilities Statement

 

PGN Consulting provides advanced, proven predictive analytics along with tactical support. PGN Consulting can help your organization generate actionable insights using new and sustainable technologies along with quantitative techniques.  

Our analytics platform is compelling and easy to use. Giving users quick visibility to macro and micro-level details supports decision-making across their population. The system allows end-users to comprehensively review medical and pharmaceutical datasets to understand plan performance and population health and wellness. 

Consultative Services  

Consultative Services  

  • Reporting and dashboard support 

  • Quarterly business reviews 

  • Program & cost utilization guidance  

  • Employee outreach & communication strategies 

  • Clinical & wellness program management 

  • Design & management of nurse navigator programs 

  • Network & Rx management support 

  • Provider engagement to improve quality of care and services 

  • Guidance and collaboration with UM/CM/DM vendors 

  • Stop Loss support  

Analytic Features 

  • Eligibility 

  • Medical & Rx Claims 

  • Labs/Biometrics 

  • Health Risk Assessments  

  • Electronic Medical Records      

  • Vision & Dental 

  • Predicts costs & risk 

  • On-demand executive-level plan performance presentations 

  • Financial & costs drivers (e.g., IBNR, lag) 

  • Benchmarking 

  • Risk & opportunity assessment 

  • Care Management Program assessment 

  • Network   performance/in & out-of-network utilization