Employer Need: To minimize claim costs and/or quality of life outcomes associated with key (chronic) diagnoses identified through hospital pre-certification notifications and submitted medical/prescription drug claims.
BSI Solution (General Overview): Disease management is another element that receives a great deal of lip service in the industry, but the reality is that there are nearly as many variations of incomplete disease management programs as there are insurers and administrators. Most employers we talk with are certain they have a disease management component in their health plan. Upon further review, we often find that an employer lacks an effective disease management program. We act aggressively in this area as it is an important factor in establishing a well managed health insurance program. |
