New Business Model Lowers Claims Costs by Reducing Utilization
COLUMBUS, Ohio, May 18 /PRNewswire/ -- As the nation continues to search for solutions to runaway healthcare costs, Quantum Health, Inc. announced that its Coordinated Health/Care(TM) program saved employers an average of $1,092 per employee, or 14%, in 2008. Over the past ten years, this program has held employers' healthcare cost trend to 4%-5% with no reduction in benefits or cost-shifting to employees.
The Columbus, Ohio, based health management firm announced these results after completing final reconciliation of its clients' health plans for 2008.
"The continuing track record of the Coordinated Health/Care approach proves that there is another, more effective way to improve healthcare in America," said Kara Trott, founder and CEO of Quantum Health. "The key is for employer health plans to adopt a new model that actually makes the process of healthcare more efficient and less costly." Trott explained that the Coordinated Health/Care program centralizes all plan functions and customer service into a staff of Care Coordinators who intercept redundant, delayed and unnecessary care as it is happening, then support patients and physicians to re-navigate that care. "Unnecessary care is literally driven out of the system," she said.
Industry experts analyzing the Coordinated Health/Care(TM) program have recognized its capacity for significantly reducing healthcare expenditures by doing just that. According to Al Lewis, founder and president of the Disease Management Purchasing Consortium, it is "the first program to prove...that coordination of healthcare functions reduces overall costs."
"The right hand very often doesn't know what the left hand is doing," Trott explained. "By getting involved and facilitating the flow of information and activities, the Care Coordinators consistently reduce costs."
| SOURCE Quantum Health, Inc. Copyright©2009 PR Newswire. All rights reserved |