Dialysis Management Solutions™ (DMS) can significantly reduce dialysis costs and ease the stop-loss renewal process.
Dialysis Management Solutions utilizes regional pricing data and a proprietary re-pricing methodology to reduce dialysis claims, reducing direct costs and in turn allowing for more favorable stop loss renewal terms. DMS clients are currently saving an average over 55% of billed charges.
One dialysis claimant can cost an employer’s plan up to $500,000 per year. DMS offers several services that can significantly lower the cost of dialysis claims and help preserve plan assets for the employer and insured. The solution is available for any self-funded health insurance plan, whether a dialysis situation exists or not. All self funded plans can benefit from implementing such a program as a proactive measure.
Usual & Customary Review:
Implementing Usual & Customary language and re-pricing methodologies can significantly reduce the impact of dialysis claims when done properly. DMS utilizes regional pricing data and a proprietary re-pricing methodology to reduce dialysis claims, reducing direct costs and, in turn, allowing for more favorable stop-loss renewal terms. Our re-priced claims are currently saving our clients an average of over 55%, saving the employer plan real dollars.
DMS assists our clients in making the modifications to their plan document that allow dialysis claims to be based on usual and customary prices. Implementation is easy and we can demonstrate the savings based on current dialysis claims. To request a savings example, please provide the claims information listed in the attached Sample Claim Data form.
Home-Hemodialysis:
Many patients might choose the convenience of dialyzing at home if they had the resources available to educate them how to self-administer the treatments and explain the potential benefits associated with home dialysis. Patients who dialyze at home often experience fewer complications and have longer statistical life expectancies.
DMS can help patients determine if dialyzing at home is the right option for them. Home dialysis also reduces claims costs to the underlying plan resulting in a win-win for the patient and the employer.
Single Patient Agreements:
DMS can also assist with negotiating single patient agreements with dialysis providers.