Helping employers manage dialysis claim costs via repricing and negotiation solutions that are proven to provide clients with significant savings off billed charges.Contact Us
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 10 percent of adults in the United States age 20 and older have some level of Chronic Kidney Disease (CKD), and there are over 600,000 people 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.
The DMS program is based on two key components: our proprietary plan language and our payment-based usual and reasonable (U&R) re-pricing methodology. Together, these components balance savings, flexibility and defensibility to our clients.
Dialysis Management Solutions utilizes U&R Review as one of the primary means of reducing dialysis claims, but other ways of reducing direct costs include.
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.