Dialysis Management Solutions
Amwins Dialysis Management Solutions (DMS) program is a proactive way to manage the kidney health of your population. We provide ongoing monitoring of members to identify those with kidney disease at risk of developing End Stage Renal Disease (ESRD).
Through case management, we can help to slow the progression of kidney disease. This can lead to better outcomes and lower costs for plan sponsors. For those who develop ESRD and need dialysis, we have a proprietary methodology for managing high-cost dialysis claims.
Kidney disease is a major health risk
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As many as 9 in 10 adults with CKD do not know they have CKD
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About 2 in 5 adults with severe CKD do not know they have CKD
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They are often dealing with other co-morbidities that are more emergent.
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This puts people at risk of inappropriate care. Not receiving the services needed to help delays the progression of CKD.
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Research shows that significantly increases the lifetime cost of treatment.
Your Challenge
Kidney disease and the costs to treat it are a growing problem for employer health plans. Dialysis Management Solutions (DMS) uses data-mining techniques to identify members at risk of kidney failure earlier in the process and offers case-management services to provide members with education, assistance, and support that improve overall levels of care.
Our Solution
Combining case management services with proprietary reasonable value payment re-pricing methodology allows DMS to deliver cost savings and protect plan assets through all stages of kidney disease, from prevention through ESRD and outpatient dialysis treatments.
Why Choose Us?
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Plan design: Benefit from our experience and avoid costly mistakes.
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Data mining: Early intervention can play a critical role in improving the member experience and controlling overall costs.
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Case management: Case managers can help patients understand how lifestyle and behavioral choices can impact their health and provide additional guidance.
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Cost-reduction strategies: The primary objective of the DMS program is to help employers save money on dialysis claims through prevention and reduction in claim costs.
In addition to the savings on dialysis claim costs generated by DMS, Amwins offers several other services aimed at lowering costs and preserving plan assets for self-funded plans.
Amwins Reasonable Value Payment Approach delivers average savings of 85%
Plan Language
Plan documents have to incorporate compliant language that supports re-pricing dialysis claims.
Re-Pricing Methodology
Successfully re-pricing dialysis claims requires a methodology that is rational, defensible and not discriminatory.
Appeals Support
Providing expert support to defend provider appeals on the backend is crucial to protecting client savings
Leverage Our Expertise Today!
Transform your benefits strategy. Empower your clients. Amplify your results. Discover tailored solutions for Brokers and TPAs in the self-funded arena.
Amwins Health & Employee Benefits Consulting has the solutions to help you gain and retain clients.
