We were recently asked to explain our delivery model for population health management. Most population management efforts fail to reduce cost because they don’t target the appropriate high-risk, high-cost patients. These are people with multiple but relatively manageable chronic diseases who are in the top 5% of costs and those who could end up there in the coming years if their medical problems worsen and their health deteriorates. We support provision of the optimal medical therapy (OMT) product for these patients with cardiometabolic disease.
Every employer sponsoring and financing a health plan on behalf of their employees must now comply with a new fiduciary standard which requires that they document how and why they contract for services on behalf of plan beneficiaries and that they do so prudently. To comply, employers must know their spend, outcomes and utilization and must bring appropriate supply side resources and best practice strategies to the plan. Simply stated, OMT is best practice for the huge cardio metabolic category and employers must contract supply side solutions that integrate OMT into their care paths potentially guaranteeing predictable outcomes. This has high value to employers now.
Thank you so much Jeff. You are one of the most knowledgeable advisors to self-insured employers and you know as much as anyone about how this all ties together.
Every employer sponsoring and financing a health plan on behalf of their employees must now comply with a new fiduciary standard which requires that they document how and why they contract for services on behalf of plan beneficiaries and that they do so prudently. To comply, employers must know their spend, outcomes and utilization and must bring appropriate supply side resources and best practice strategies to the plan. Simply stated, OMT is best practice for the huge cardio metabolic category and employers must contract supply side solutions that integrate OMT into their care paths potentially guaranteeing predictable outcomes. This has high value to employers now.
Thank you so much Jeff. You are one of the most knowledgeable advisors to self-insured employers and you know as much as anyone about how this all ties together.