Kidney disease and the costs to treat it are a growing problem that can wreak havoc on an employer’s health plan. Estimates show more than 15 percent of adults in the United States have some level of Chronic Kidney Disease (CKD), and each year 120,000 Americans are diagnosed with End Stage Renal Disease (ESRD). The limited number of treatment providers restricts the ability of PPOs to effectively protect self-funded plan assets from the soaring cost of dialysis claims. That is where Dialysis Management Solutions (DMS) can help.
Dialysis Management Solutions utilizes regional pricing data and a proprietary re-pricing methodology to reduce outpatient dialysis claims, reducing direct costs and in turn allowing for more favorable stop loss renewal terms. DMS clients are currently saving an average of over 75% off billed charges by utilizing the following DMS services:
To receive a customized savings illustration based on actual dialysis claims, please provide DMS with a copy of the Plan Document, any PPO Network re-pricing discount information if applicable and a full month of claims for dialysis related services in the form of UB-92 or HCFA’s.
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