Case Study
Laser-Focused on Renal Savings
Laser-Focused on Renal Savings SITUATION: A group came to Specialty Care Management (SCM) with a 42-year old patient in Louisiana that was receiving dialysis from one of the two largest companies that provide dialysis services. With yearly charges running upwards of half a million, the claim costs potentially threatened the group’s overall profit margins. The group’s original stop-loss quote included a $575,000 laser to cover the dialysis cost and a conditional $150,000 laser in place for transplant. At renewal, the patient had already incurred over $550,000 in claims year-to-date. Craig R. Clemente | 267.544.0351 | cclemente@specialtycm.com www.specialtycm.com CASE STUDY SCM SOLUTION: Specialty Care Management worked with the group, utilizing SCM’s unique approach to ultimately