High-Cost Claims Are Skyrocketing — Bruce Roffé, President & CEO of H.H.C. Group Shares Proven Solutions at SIIA 2025

September 02, 2025 High-cost claims are no longer isolated events, they're rapidly multiplying. For self-insured health plans, the pressure to contain catastrophic claims is building so fast that traditional tactics are simply falling behind. That's why Bruce D. Roffé, President and CEO of H.H.C. Group, will take the stage at the SIIA 2025 National Conference & Expo to explore new, more effective strategies for staying ahead.

On Monday, October 13, Roffé will join the panel "New and Innovative Solutions to High-Cost Medical Claims" to share insights from decades of leadership in hospital administration, clinical innovation, and cost-containment for self-funded payors.

"High-cost claims today are more than just expensive, they're complex, unpredictable and growing faster than most plans can absorb," says Roffé. "At H.H.C., we use attorney-led negotiations, independent medical reviews and benchmark-based pricing to help plans cut costs without cutting corners."

What to Expect from the Discussion

Roffé's perspective goes beyond the services H.H.C. Group provides. His session will explore forward-looking strategies that help plan sponsors and TPAs identify risks earlier, act faster and build smarter benefit structures.

Topics will include:

• Predictive Analytics and Health Risk Modeling: Identifying high-risk claimants before costs escalate.
• AI-Enabled Negotiation Tools: Combining machine learning with expert review to drive better outcomes.
• Prescription Drug Management: Strategies to control costs around gene therapies, specialty medications and genetically engineered drugs.
• Cancer, Cardiovascular Events and Neonatal Care: Targeting the most common and most costly drivers of catastrophic claims.
• Employer-Led Prevention Tactics: Early screenings, lifestyle interventions and on-site programs to reduce downstream costs.
• Maternity and Neonatal Innovation: From gene sequencing for newborns to non-invasive ventilation and AI-based diagnostics, the landscape is shifting quickly and cost implications are rising.

For employers, TPAs and stop-loss carriers, these insights offer a roadmap to not only reduce claims costs but also improve care delivery and long-term plan stability.

The Role of H.H.C. Group in Today's Claims Environment

While Roffé will speak to market-wide strategies, the foundation of his perspective comes from what H.H.C. Group sees every day in the field, increasingly complex claims, hardline providers and shrinking negotiation windows. H.H.C. Group equips payors with the tools to respond quickly and decisively.

Here's how we help clients reduce exposure and improve claim outcomes:

• Attorney-Led Claim Negotiation: Slash large-dollar claims by up to 75% or more, even with PE-backed providers.
• Access to Major Preferred Provider Networks: Leverage existing agreements to maximize savings on claims down to $1.
• Independent Reviews/Utilization Reviews: Maintain plan integrity with unbiased medical necessity reviews by board-certified specialists — trusted by payors to validate care and support defensible decisions.
• Reference-Based Pricing: Anchor payments to fair, transparent benchmarks — not inflated fee structures.
• Fast Turnaround: Most claims resolved in 5–7 business days to keep you ahead of aggressive billing tactics.
• 30 Years of Proven Results: With a proven 30-year track record of successfully negotiating both in- and out-of-network facility claims, H.H.C. Group remains a trusted partner for cost containment nationwide.

See the Results at SIIA 2025

Roffé's session is designed for industry professionals looking to evolve and get ahead of the curve. If you're attending SIIA's National Conference in Phoenix, this is a conversation worth joining. We're also available for one-on-one meetings during the event. If you're dealing with complex, high-dollar claims, or preparing for what's next, we'll show you how our approach delivers results you can measure.

Contact HHC Group today to learn more or set up a meeting.

Real People. Real Savings.