Coordinated Health/CareT is largely focused on helping patients become better users of the healthcare system through education, incentives and direct guidance from the Care Coordinators.

One of the fastest growing features of  Coordinated Health/Care is adoption of specialized benefit enhancements that encourage and reward specific healthcare behaviors.  We call them Behavior Benefit Incentives (BBI).

The most basic BBI is an enhanced co-pay or co-insurance for use of in-network PCPs and specialists to whom a patient is referred by a a PCP.  Quantum Health has used this technique in health plans for more than 7 years, and this tool has proven effective at increasing appropriate use of PCPs and preventive screening, along with reducing unnecessary visits to specialists and the resulting diagnostics and prescriptions. 

The next step:  Benefit incentive-driven wellness and self-management of chronic conditions.
The long term goal of Coordinated Health/Care is to improve the health of employees and families through the healthcare plan.  This produces better employee satisfaction, higher productivity, and lower healthcare costs due to reduced utilization. 

Group health management requires an increased focus on Wellness, Preventive Screening and Disease Management.  Benefit incentives can be instrumental in driving your employees' healthcare behavior in this direction.

The following are examples of benefits incentives that Coordinated Health/Care^T has utilized to drive wellness and disease management-oriented patient behavior. 

• Reduced premiums or deductibles for employees who complete a Health Needs Assessment.

• Reduced premiums or deductible for employees who have their blood drawn and analyzed in a worksite preventive screening "health fair."

• Free testing supplies for diabetics who comply with their Disease Management "Care Pathways." 

• Special benefit coverage for patients with other chronic diseases who follow their DM Care Pathways. 

Ask us for more details on Behavior Benefit Incentives  and how to build hem into your Coordinated Health/Care^T plan.