EBMS has developed an integrated, value-based health strategy as a potential solution to the healthcare financing crisis. Value -- the clinical benefit achieved for the money spent -- had been absent from many former solutions developed to solve rising healthcare costs. Instead, the dialogue focused on two trends in benefit design -- cost containment and quality improvement -- which often created a conflict of incentives for patients.
Recent efforts have focused on enrolling members in disease management programs designed to improve patient self management, often by intervening to enhance compliance with specific medications. However, at the same time, employers unintentionally negate this efforts with implementation of increased co-payments and greater cost sharing for their employees, creating financial barriers that discourage the use of recommended services and medications needed to keep their health plan members compliant.
When individuals have to pay more for their healthcare, it is well known, they buy less -- of both essential and excessive therapies alike. By incorporating a valu-based health strategy, the employer adjusts out-of-pocket costs on an assessment of the "clinical benefit to the specific patient population" and aligns financial incentives to encourage the use of high-value care.
EBMS' value-based health strategy features a value-based benefit design, comprehensive health management programs and targeted member engagement techniques so that we can assure members are receiving the right care, from the right provider, at the right place, at the right time.
EBMS has employed this strategy with remarkable success. In every instance, those clients who followed our value-based health strategy were able to decrease their overall Medical Trend and reported improvements in overall employee morale and productivity! Discover how a value-based health strategy can impact the personal and fiscal health of your organization today.