HOUSTON--(BUSINESS WIRE)--HealthHelp, a leader in specialty benefits management, is committed to helping physicians, providers, and payer groups maximize quality while minimizing cost through the use of programs designed to inform payers and educate providers.
HealthHelp’s collaborative care management approach practices a unique, non-denial model of authorization for medical services, which centers on ensuring that the patient receives the right procedure, at the right place, at the right time. A variety of other programs support this approach through use of technology, a predictive intelligence system, and through quality control measurements.
These programs educate providers and encourage them to change their ordering behaviors over time. Provider behavioral changes then lead to sustainable cost savings year-over-year. Short-term savings are realized from benefits management aspects of the program, while long-term savings are sustained by focusing on quality of care and improving patient outcomes so that less treatment is required in the future.
Examples of HealthHelp’s programs include a physician-scoring system that determines the right provider and treatment facility for a patient and directs them to the right place in the most cost-effective manner. HealthHelp’s Site assessment program provides standards, evaluation, and certification to promote best practices among personnel, for equipment use, and for policies and procedures of medical imaging facilities.
HealthHelp’s consultative program, as well as other programs, allows HealthHelp to fulfill the federal medical loss ratio (MLR) requirement established by the Public Health Service Act (PHSA).
More about these clinical care management programs and their impact on cost savings can be found at http://www.healthhelp.com/clinical-care-management-cost-savings/
HealthHelp, a leader in specialty benefits management, generates significant savings and return on investment for healthcare payers by enhancing physician knowledge, improving quality of care, and reducing unnecessary radiation exposure. Each of its programs addresses a different aspect of radiology, cardiology, medical and radiation oncology, emergency medicine, pain and orthopedic management, and sleep care. The clients of Houston-based HealthHelp administer local, statewide, and national healthcare plans across the country. For more information about HealthHelp’s programs, visit healthhelp.com/.