OUR ADVANTAGE

Problem: Since 2000, hospitals have provided more than $702B in uncompensated care to their patients. Moratoriums on elective surgeries and related procedures during the pandemic have disrupted revenue projections, creating additional financial pressure on hospitals. The need to explore unknown sources of recovery has never been greater.

Market: Our focus is the application of our Mass Tort Recovery Program on the “end stage” of the revenue cycle for our healthcare clients, when accounts go to self-pay or write-off.

Patient Advocates: We recover revenue from Tort Litigation / Multi-District Litigation settlements. The patient’s right are preserved and they participate in settlement distribution.

Hospital Advocate: We identify and protect our hospital clients’ right to recover a portion of the uncompensated cost of care rendered related to pharmaceuticals, medical devices or consumer products tied to Mass Tort Litigation / Multi-District Litigation.

Proprietary Technology: Our proprietary Mass Tort algorithms identify current or former patients who likely meet the damage criteria necessary to successfully enroll in applicable Mass Tort Litigations.

Compliant & Secure Services: Our HITRUST CSF certified data analytics and outreach services are HIPAA compliant and secure.



OPTIMIZE PROVIDER AND PAYER REVENUE THROUGH NON-TRADITIONAL MASS TORT THIRD PARTY LIABILITY RECOVERY

Allēus helps healthcare providers and employer-sponsored self-insured health plans recover third-party liability revenue from a non-traditional revenue source – mass tort litigation.

Compared to traditional insurance subsets such as auto and worker’s compensation, mass tort recoveries from defective drugs, medical devices and consumer products can represent significant revenue recoveries. Because the recovery process is complex, most hospitals and health systems have not pursued these opportunities. Until now.

We leverage extensive healthcare, finance, and legal industry expertise to assist healthcare providers and employer-sponsored self-insured health plans understand their recovery rights and deploy this unique recovery program.

Our proprietary, HITRUST® certified technology platform, advanced analytics, and patient-centered advocacy services qualify potential high-value mass tort recovery opportunities through a targeted analysis of provider uncompensated or undercompensated care data, associated clinical encounters, or self-insured health plan paid medical and pharmacy benefit claims.

Transparent Analytics

We provide transparent insight into the dynamic mass tort/multi-district litigation space. Our sophisticated analysis outlines relevant healthcare and payer business intelligence so clients can prioritize mass tort recovery opportunities.

Outreach & Recovery Management

Through HIPAA-compliant and compassionate direct outreach campaigns, our patient advocates help individuals understand their individual recovery rights and the ways Allēus can assist in pursuing these rights. When we identify individuals through our litigation matching program who are already pursing a claim, we gather sufficient information to file a medical lien to protect our clients’ right to recover associated UCC charges and/or amounts related to the claims paid by an employer-sponsored self-insured health plan.

Backed by the resources of our affiliate, Plexos Group, a full-service business consulting, program management, and third-party administration firm, we efficiently navigate analytics, outreach and recovery of lucrative mass tort settlement while ensuring compliance with HIPAA and other applicable laws and regulations.