Our General Health Plan Assessment provides an end-to-end review of your existing health plan. We review all the information provided to you by your existing vendors / partners. We furnish a reassessment of information and verification of claims data. This “second opinion” will provide you with a comprehensive appraisal and a blueprint to better outcomes for your health plan.
Analysis & reporting without intervention provides NO value!
Without Connect & Care, you have care gaps in your health plan
However, most Case Management / Care Management programs are limited in their scope as they only the address a few disease conditions (usually the 4 or 6 most common, including diabetes and COPD)
Most Case Management / Care Management programs fail because they miss other disease conditions, AND more importantly, fail to recognize “pre-clinical” conditions.
Connect & Care can:
As part of our auditing and consultancy services we ensure that your employees / members are getting the right services, at the right time, and at the right price.
Connect & Care has its own proprietary clinical analytics platform. All analyses are performed by physician-experts. We perform a detailed review of medical and pharmacy claims to understand historical claims, present claims, and forecast trends. We identify opportunities to improve care, close clinical gaps, and reduce costs.
The question you have to ask yourself is, “whether or not you are able to actually measure the Return On Investment (ROI) of your Wellness Program?”
Connect & Care can provide an unbiased assessment of your Wellness programs and either confirm or refute your existing vendor’s assertions.
If you do not have a Wellness Program, we can help outline a program taking into consideration the unique elements of your employees, industry, and workplace.
We review your existing programs to determine if they are being held to the highest quality by utilizing 200+ quality metrics supported by the National Quality Foundation (NQF), the National Committee for Quality Assurance (NCQA), Healthcare Effectiveness Data and Information Set (HEDIS), Centers for Medicare & Medicaid Services (CMS) Quality Measures, and clinical care guidelines established by professional clinical organizations.
There are intrinsic problems with Population Health Programs.
Because the definition of Population Health is poorly defined, programs suggesting Population Health benefit remain largely elusive, and therefore problematic.
Connect & Care, LLC
P.O. Box 25762
Columbia Station, Ohio 44028