 Purchasers of Health Care Products
Make Cost Saving Health Service Product Purchases: Employers & Government Agencies
With health care inflation exceeding growth in GDP by more than two and a
half percent annually, employers and government programs must find a way to
reduce the total cost of care while improving productivity and lowering impairment/disability.
To date, most have not been able to break through the "curb cost:promote health"
barrier by following parochial health plan cost containment recommendations or by introducing traditional care management
support programs. Health spending continues to rise at an alarming rate.
If one or more of these describes your situation...
- Your health service product costs increase year after year, especially
in those with health complexity and concurrent chronic medical and
mental health issues
- You would like meaningful and well-documented cost
and health outcomes from health plans and management vendors to make
future purchasing decisions
- Practitioners of medical and mental health services delivered to individual
employees or enrollees do not communicate with each other and provide
fragmented care
- You find that a small percentage of chronically ill employees or enrollees
use very high levels of health services but your health and disability programs
have had limited success in promoting health or reducing costs
- Productivity is low and delayed return to work is high in employees with complicated health
problems, including mental health issues (employers)
- Social, educational, or criminal justice program costs are high in enrollees
with chronic medical problems, including mental conditions (government
agencies)
...These are the ways that Cartesian Solutions, Inc™ can
help
Cartesian Solutions, Inc™ uses experts with experience in clinical
care, health administration, and actuarial science, who are knowledgeable
about but unaligned with delivery systems, health plans, or management vendors,
to assist clients reduce administrative and claims costs. They achieve cost savings by connecting payment procedures (payment reform)
to effective health product delivery (delivery reform). Cartesian Solutions, Inc™ places special emphasis on coordinating the
medical and mental health needs of employees or enrollees with service delivery techniques that improve outcomes for those with health complexity,
i.e., individuals with multimorbid conditions, who are treatment resistant
and use high levels of health services. Experts partner with the client as
they:
- Identify targeted cost saving opportunities through analysis of
aggregate claims data on employees' or enrollees' physical health,
mental health, and pharmacy service use
- Assess health product contributions of health plans and management vendors to employee wellness, prevention
of disease, and coordinated illness intervention for employees or enrollees with special attention to cost savings
opportunities
- Health and disability contracts
- Parity compliance
- Care management, disability management, and pharmacy benefit management procedures
- Key informant interviews
- Onsite audits of management work practices and personnel interactions
- Determine the value of health plan and management
vendor products to the client with suggestions on change or augmentation
of contracts and/or service delivery requests
- Define steps to efficiently transition to health purchases with potential
to maximize health, productivity, and cost savings.
Special issues for
For more information or to set up an appointment contact: Mary
Kathol,
Director of Project Implementation.
Cartesian Solutions, Inc.™
3004 Foxpoint Rd. - Burnsville, MN 55337
Phone: 952-426-1626 - Fax: 952-426-1200
E-mail: integration@cartesiansolutions.com
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