DIALYSIS STEERAGE

CHALLENGE

  • Member identified with high-cost dialysis charges
  • Dialysis provider was found to be OON
  • Annual cost estimate at this facility was $576,000

SOLUTION

  • Referred member to case management requesting outreach
  • Team worked to steer member in-network

CLIENT WIN

  • Member changed to in-network facility
  • Treatment costs reduced as a result

Annual Savings of $400,000