How Capitated Disease Management Cuts Costs and Saves Members’ Lives with Kimberlee Langford

Description:

One in 3 Americans has pre-diabetes, and over 80% don’t know it. Left unaddressed diabetes is the leading cause of kidney failure. The cost of care is exorbitant, but it can be reigned in through capitated disease management. 

Far too many patients wade through life with undetected kidney disease that ultimately demands dialysis seemingly overnight. And as patients advance through the disease stages, the claims just get pricier. 

These costly cases raise premiums and out-of-pocket expenses for the affected member and the entire insured population at that organization. Employers can avoid unnecessary spending on chronic kidney disease by up to 80% through capitated disease management that often avoids or delays dialysis altogether.

Find out today how personalized, capitated disease management detects the smoke so plan members’ wellness doesn’t burst into flames. 

Listen as Lester J. Morales talks with Kimberlee Langford, the Vice President of Clinical Services for Specialty Care Management, to hear how employers and brokers prevent diabetes from igniting the fuse that leads to costly dialysis treatment. 

Show Notes:

5:37 Impacting a life saves a significant amount of money.

6:33 Why dialysis is a preventable disease.

10:07 How preventable disease sneaks up on workers.

12:37 Cost of care goes up 57% as patients advance in disease stage.

16:39 How to improve member participation rates to 50-75%.

24:43 The proof is in the pudding: Case #1 

26:18 Personal service is life-changing: Case #2

28:21 How to save up to 80% on dialysis claims with a capitated disease management program.

32:26 How to address misaligned incentives in disease management. 

36:58 Be a superhero: Case #3

38:51 Nurses have a huge impact on patient outcomes: Case #4

Reminder! Stay connected with cutting-edge health benefits strategies by joining the Impact Healthcare text community at 813.537.6992.