Studies have shown that
large claims account for over 80% of medical expenditures.
During
these times of escalating medical expenses, we need
to find ways to save claim dollars. Large Case Management
has proven to reduce paid claims substantially, when
instituted early, in potentially catastrophic illnesses.
For effective case management, Managed Care Concepts,
Inc. accommodates both physicians and patients
by actively negotiating prices with their preferred vendors
when appropriate or possible. Onsite visits may also be
made to evaluate the level of care, quality of equipment
and services. The Case Manager will submit monthly reports
for active large case management. The reports will reflect
true cost savings obtained through actively negotiating
discounts on medications, medical equipment and supplies,
hospital bills, outpatient charges, home health services,
and sub-acute facility charges. Through communication with
physicians, healthcare providers and patients, the Case
Manager may also realize cost savings by encouraging and
facilitating less costly alternative plans of care: for
example, home care vs. hospitalization. The fees for large
case management are not really expenses but are paid for
by the savings to the plan.
In addition to the above diagnosis there are situations
where Large Case Management can effect cost savings while
enhancing appropriate care. They are: |
Case Management intervention may include:
- Arranging
a transfer from the hospital to an extended
care facility, nursing home, specialty facility,
or home with home health care.
- Arrangements
are made for durable medical equipment, medications
and professional services as indicated.
- Family
training and education, as well as counseling
are an integral part of the program.
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On
the average, for every dollar spent for large case management
the plan will save twelve dollars.
Contact
us for guarantees!
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