Our Purpose
At Amwins Health and Employee Benefits Consulting™, we are on a mission to redefine the landscape of self-insured benefits consulting. Our unique value lies in our relentless pursuit of tailored cost-containment strategies that transcend conventional boundaries. We bring unparalleled expertise, empowering Brokers, TPAs, MGAs, and their plan sponsors with innovative solutions that not only curb costs but amplify the health plan benefit and financial resilience of organizations.
Why Choose Us?
Choosing us as your independent consulting company means choosing a partner dedicated to pushing the boundaries of traditional plan benefits consulting, delivering value that goes beyond cost containment to drive lasting organizational success.
We Are Ready to Help
Innovative Solutions:
Embrace the future of benefits consulting. Our commitment to staying ahead of industry trends ensures your clients have access to the latest cost-containment and compliance strategies, giving them a competitive edge.
Tailored Expertise:
Experience the advantage of personalized consulting tailored to the unique needs of your clients. Our team of experts takes the time to understand the specific challenges faced by self-insured plan sponsors, allowing us to craft bespoke solutions that maximize cost savings. You don't have to be an expert on all cost-saving solutions available in the market. Our consulting approach includes comprehensive education to ensure that brokers and plan sponsors are well-informed about the strategies in place. This not only builds confidence but also contributes to the overall success and sustainability of the benefit plans.
Comprehensive Compliance Partner:
Navigate the intricate landscape of plan benefit compliance with confidence. Stay ahead of regulatory changes, mitigate risks, and ensure your clients' benefit plans adhere to the latest requirements.
We Understand the Challenge
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Rising medical and prescription costs are making employee benefits less affordable and affecting people's health.
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The market is filled with new products and offerings focused on retaining the status quo of how employee benefits should be managed. But they are ineffective.
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Benefit brokers are expected to know about benefit contracts, paying the right amount for your healthcare needs, and updated eligibility files. It's a complex environment, you don't have to navigate it alone.
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It's essential to monitor all plan changes because they may not work as planned. Changes can involve shifts in patient costs, coverage exclusions, and adjustments to contracts and networks.
Audit
We uncover hidden savings and mitigate your risks with a 100% review of your medical claims, Rx claims, hospital bills, and clinical and DRG validation.
Compliance
We help you stay compliant against risk with our technology-driven solutions backed by our consultative approach to ensure you are not alone in your compliance journey.
PBM Procurement
We negotiate best-in-class and market competitive pricing through our end-to-end RFP process. Call us for a no-obligation consultation.
Carve-out Programs
Our simple solution in alternative funding and dialysis reprice is built to achieve cost-containment without impacting your current plan benefit rules.
Leverage our Expertise Today!
Transform your benefits strategy. Empower your clients. Amplify your results. Discover tailored solutions for Brokers and TPAs in the self-funded arena.
Amwins Health & Employee Benefits Consulting has the solutions to help you gain and retain clients.
Contact UsMeet Our Team
Harsh M Shah, MPH CPH MBBS
Principal
Harsh brings his collective experience in managed care, insurance, pharmaceutical, PBM, and health start-up industries to deliver robust cost-containment solutions for self-insured plan sponsors. Throughout his career, Harsh has focused on developing solutions to lower costs for brokers, and clients supporting self-insured plans.
Mark J. Lawlor
Practice Lead, Health Claim Audits
Mark has over 30 years of experience in the insurance industry including managed care, PPO plans, pharmacy, and other specialty product areas. As a Health Claims Audit expert, He assists brokers, TPA’s, employer groups, hospital health plans, municipalities, and other employers to ensure that healthcare benefits are operating as contracted and expected.
Keith Bird
Practice Lead, Dependent Eligibility Audit
Keith combines his 30 years of industry experience with nontraditional methods that have proven successful in helping employers reduce healthcare costs. As a Dependent Eligibility Audit (DEA) and Compliance Expert, he works to maximize client savings, deliver successful cost containment strategies, and deliver accuracy and the overall best results.
