Case Study

SCM Minimizes Risk While Maximizing Savings for Captive Group

SCM Minimizes Risk While Maximizing Savings for Captive Group

SCM Minimizes Risk While Maximizing Savings for Captive Group SITUATION: Specialty Care Management (SCM) was approached by a broker with concerns for one of his captive groups, which had an active dialysis case. Receiving a minimal network discount of 10% off billed charges, the group was met with provider charges totaling $631,000 on an annual basis with a spec level of $75,000. The group faced intimidation and pushback from the network, even though carve-outs were allowed. Craig R. Clemente | 267.544.0351 | cclemente@specialtycm.com www.specialtycm.com CASE STUDY About Specialty CM: We’ve designed a new way to manage catastrophic claims—one that brings costs back under control and delivers a complete risk solution. Plus, with double the savings compared to typical network discounts

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