Imaging Information Saves Members $11.5 Million
Case In Point
A radiology benefits management provider partnered with Carenet to scale their services for Commercial, Medicare and Medicaid payers and reduce costs by informing patients of high-quality, lower-priced diagnostic imaging facilities.
Situation & Opportunity
Diagnostic imaging costs the healthcare system over $100 billion annually. Physicians often refer patients to a specific facility without providing cost and quality information. Most patients are unaware of their provider choices and the vast price variations. By extensively scaling their outreach efforts beyond their current in-house program, the client could educate more consumers on facility options resulting in cost savings for both patients and plans.
Carenet developed a customized outreach strategy driven by highly skilled bilingual engagement specialists and advanced technology integration. Qualified health plan members were proactively provided with transparent cost and quality information for local diagnostic imaging facilities. Carenet’s engagement specialists educated members on alternative resources and coordinated appointments on their behalf.
The information Carenet provided empowered members to make the best decision for their health and their wallet. By guiding patients to approved, lower-cost imaging facilities, Carenet saved an average of $400 per test producing an annual savings of more than $240,000. As a result of Carenet’s stellar performance, the engagement team’s size was expanded by 400%.Today they manage 2,400 cases per month generating $11.5 million in annual savings.
Become a Success Story
With nearly 25 years of customer-relationship management experience in the healthcare arena, Carenet knows how to deliver measurable results. Contact Carenet today to learn how you too can become a success story.