corp health and wellness pro's guide to patient advocates
TRANSCRIPT
05/02/2023 1
Corporate Health & Wellness Professional’s Guide to
Independent Patient Advocates
© by MedSavvy Health Advocates LLC 2015
Michele Hanley, BS, MPAMedSavvy Health Advocates LLC
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Current state of the healthcare system
© by MedSavvy Health Advocates LLC 2015
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Medical Costs
Employer Cont.
Employee out of pocket
Employee Contribution
59%
25%
16%
© by MedSavvy Health Advocates LLC 2015
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This has been healthcare and insurance company answer.
More Services Fewer Primary Care DocsLess time/patient More TreatmentsMore Technology More DrugsLess Communication InsuranceElectronic Medical Records More SpecialistsToo many CHOICES and Confusing DECISIONS!
Tool & Info Overload
© by MedSavvy Health Advocates LLC 2015
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Information + Tools Knowledge
© by MedSavvy Health Advocates LLC 2015
•86% of a representative sample of 24-65 year olds withhealthcare insurance DID NOT understand traditional healthinsurance concepts — deductible, copay, co-insurance andout-of-pocket maximum
• 89% of people were NOT able to compute the cost of a four dayhospital stay when given the information that should haveenabled them to do so.
-Journal of Health Economics, Volume 32, Issue 5, September 2013, Pages 850–862
05/02/2023 © by MedSavvy Health Advocates LLC 2015
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Human Resource Efforts•Employee assistance programs•Wellness programs •Flex time and flex accounts•Health savings accounts
Great innovations but ……………… illnesses still occur, accidents and trauma still happen, families still face almost insurmountable medical bills.
And all these can lead to employees missing work, being distracted, quitting to care for family members, declaring bankruptcy.
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Traditional HelpWe have relied on:
Family and friends Emotional baggage, family dynamics, Limited knowledge of healthcare industry
Employed patient reps and nurse navigators Mixed loyalties (who pays them?) Limited service range
© by MedSavvy Health Advocates LLC 2015
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A Better Solution - Independent Patient AdvocateSomeone who:Supports and promotes patient’s rights. Guides and helps them navigate the healthcare system. Ensures a patient’s voice is heard and respected.Guarantees patients get the care they needResolves conflictsWorks synergistically with your current program
© by MedSavvy Health Advocates LLC 2015
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Services Might IncludeCare coordination and navigationAccompanying to appointmentsLiaison between patient and doctor or other providerDiagnosis and treatment option research and explanationsCoordinating medical records and medicationsHelp preparing advanced directivesAuditing bills and negotiating denied claimsHelp in choosing best insurance coverage…………and much more……………………
© by MedSavvy Health Advocates LLC 2015
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Employer Benefits
Presenteeism and productivity Negotiating power with insurer Recruiting and retention of valuable employees
Absenteeism Turnover Medical claims Confidentiality liability
Cost
Bottom Line = Better Business
© by MedSavvy Health Advocates LLC 2015
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Employee Benefits
© by MedSavvy Health Advocates LLC 2015
Personal responsibilityProblem resolutionUnderstanding and knowledge
Out–of-pocket costsStress and distraction
Quicker return to full attention and attendanceBottom Line = Peace of mind
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Website: www.medsavvyhealthadvocates.comBlog: Better Savvy Than Sorry(719) [email protected]
Michele Hanley, BS, MPA
Contact me today to find out how we can help your business decrease medical costs and increase employee loyalty and productivity.
© by MedSavvy Health Advocates LLC 2015