Focus on High Cost Drivers for High ROI

In the United States, 75% of employers’ healthcare spending is for people with chronic conditions. Instituting an effective chronic condition management program can create a significant return on investment:

  • Reduce ER and hospital stays
  • Decrease the likelihood of disease escalation
  • Lessen absenteeism and lost productivity
  • Lower total health costs

QuadMed’s chronic condition management program offers a best-practice, integrated approach to three chronic conditions:

  • Diabetes
  • Hypertension
  • Asthma

Our Solution

QuadMed’s program encompasses best practices to ensure optimal patient engagement and measurable outcomes:

  • Integrates with primary care provider and delivered by Certified Nurse Educators
  • Uses electronic medical records (EMR) to allow flow of information between care team
  • Adheres to evidence-based protocols for optimal outcomes
  • Creates individualized goals and care plans
  • Taps into benefit design incentives to drive initial patient engagement and sustained participation
  • Measures success through a variety of metrics (capture rate, engagement rate, cost of claims, patient satisfaction, improvement in patient health and condition-specific metrics)

Chronic conditions are responsible for two-thirds of the rise of overall healthcare costs nationally since 1980.

Convenient Access
Patients have access to Certified Nurse Educators via phone, email and telehealth.
Accountability
Patients are held accountable for behavioral changes through relationships with providers, close monitoring of their condition and value-based incentives.
Care Team
Patients have the backing of a multi-disciplinary care team, which remains in constant communication in order to reach and encourage the patient at every level.