CostFirst developed a revolutionary solution that aligns state-of-the art technology with years of experience in medical cost containment. Our OptiMix™ service solution helps manage lien resolution needs by integrating our expertise in lien negotiations and litigation with expert bill review (CompleteReview™), expert witness testimony (CompleteExpert™) and medical provider analysis into a proprietary software system application called CUBE™ (Company User Base Enterprise). By utilizing CUBE™, we are able to provide clients a management tool for their lien process. CUBE™ software system displays results in real time.
Our program also affords clients the flexibility in unbundled services. Clients may choose what service, or services, that best fits their needs.
Focusing on the claim costs of our clients, we provide affordable and efficient solutions that result in accelerating claim closures and relieving the negative pressures on the combined ratio in multiple facets…(ULAE, ALAE, MED).
Letter from the CEO
Leadership begins in humility—service for others devoid of self-interest that is centered on group achievement. I’m honored to be given the privilege to serve our customers, our partners, our employees and our community.
Our company was established in 2005 with the passion to revolutionize mitigation of healthcare expenses. The integration of bill review principles, lien defense best practices and medical provider analysis became the blueprint of our services. Our program is designed to adapt and evolve with industry needs. Using technology to scale our success, we created CUBE™—Company User Base Enterprise. A software system designed to manage and track in automation liens and litigation abuses and trends. Client portal access of CUBE™ allows clients to manage their lien program in tandem with us. Through automation and on-demand access, efficiency in operation improved—accelerating claim closures and relieving the negative pressures on the combined ratio in multiple facets…(ULAE, ALAE, MED).
In current events, scams in healthcare fraud and abuse targeted government and private healthcare insurers from small to large. According to Coalition Against Insurance Fraud, healthcare expenditures in the U.S. were projected to reach $3.2 trillion in 2015, or about $10,000 per person. (Centers for Medicare & Medicaid Services, 2015—see second table, NHE Projections 2014 - 2024.) Financial losses from healthcare fraud amount to tens of billions of dollars annually. (National Health Care Anti-Fraud Association, 2015.)
Outraged in the escalation of medical abuse and fraud, we powered up HEAT™—the Healthcare Enforcement Action Team. We have strategically aligned with employers and insurance carriers along with government and law enforcement agencies to contain and prevent many of these cost drivers that now wreak havoc in our industry. The result is CUBE™ powered by HEAT™.
In 2016, our executive team perfected its leadership by adding Chief Operating Officer, Michael E. Lents. Michael has held executive positions for managed care companies, having many years of experience in claims, bill review, utilization review, MPN, lien defense and analytics. This growth extended our successful legacy of leadership of Chief Financial Officer Brian Stalker and General Manager Yollete Capalla, who became partner this year.
CostFirst Corp. successes and reputation are echoed in healthcare industry through our core values, THIS IS US. Action driven results make us one unified body to serve for the betterment of our community. Join us and let’s move forward together in the evolution of healthcare resolution.
Beth Howard, CPC CEO, CostFirst Corp.
The Evolution of Healthcare Resolution
We employ technology advancements, industry insight and cultivated professionals to deliver progressive solutions that curtail medical claim costs for employers.
They guide the way we work with our business partners, within our communities and with each other. Commitment to core values fosters a vibrant company culture where ideas blossom, people thrive and success flourishes. These principles are rooted in our character. This is us!
Transparency – open communication to welcome candid feedback
Humility – hunger to learn; discernment to use resources wisely
Integrity – honor to keep promises; honesty to earn trust
Self-discipline – willpower to put words into action
Innovation – passion to create; imagination to be original
Stewardship – conviction to safeguard healthcare delivery
Unyielding – courage to stand against adversity
Synergy – teamwork to collaborate and embrace collective ideas
We have a uniquely qualified management team with experience in claims, lien defense, bill review, witness testimony, medical provider analysis,
and cost containment that brings progressive insight by integrating solutions with technology resulting in efficiency and mitigation of expenses.