Unique Expertise Controls Costs
Our clinical expertise specific to on-site care combined with decades of benefits management, communication, consulting and risk expertise gives employers unparalleled control over health care costs, delivery, outcomes and targeted treatment paths.
Wellness, incentives, education, communication, benefit plan options, health risk assessments--these are all the prominent touch points of health plan costs. Unless integrated with follow up, continuity of care, health coaching and education, clients are faced with continued rising costs of care and sicker populations.
Implementing one or more of the Clinical Resources Group product models in combination with solid health plan risk management will result in proven healthier employee populations, reduced health care expense, and more educated, empowered employees and employers in all aspects of care and treatment.
Clinical Resources GroupTM comprises tenured health care and administrative professionals and provides distinct health care services through four delivery models:
| CareCorps® |
On-site health care clinics |
| DataCorps™ |
Data management, analysis and outcome reporting focused on positive return on investment |
| DirectCorps™ |
Direct contracting to centers of excellence and targeted specialty services |
| ConsultCorps™ |
Health care consulting to major employers, health care organizations, and public sector entities (e.g., state and federal agencies) |
Drivers of Healthcare
- Trend, health care inflation
- Demographics, aging population
- Advancing technology
- Direct-to-consumer advertising
- Legislative health care mandation
- Earlier diagnosis, longer treatments and higher price tag
- Uninsured care shifting to insured market
Risk Reduction Objectives and Management Tools
- Consolidate Risk
- Leverage buying power — stop loss & renewal negotiations
- Consistency in benefits
- Equity in benefits as a percentage of total compensation
- Predictability in costs/claims and cost shift/share
- Control in plan design
- Improved source of accountability
- Increased reporting availability/risk assessment to determine need in network contracting
- Direct contracting for specific care as risk indicated
- Tools to develop and measure wellness and lifestyle based on data mining
- Collaborative partner to develop communication and delivery methods
- Ongoing assessments, measures and utilization review
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