Solutions for Payers

For Payers

Driving beneficiary wellness is a key strategic imperative for most organizations and especially for self-insured employers. From increasing the number of days on the job to reducing the cost of benefits to improving employee motivation and morale, corporate wellness programs are more critical than ever.

Great employees are at the heart of every organization. A healthy and productive workforce equals reduced healthcare costs. With healthcare costs slated to go up 6.5% this year,1 it is more critical than ever to spend your money on wellness and disease management solutions that are innovative and proven to be successful.     

Implementing the right disease management program is critical to your return on investment. The APhA Foundation’s PSM Solutions help you direct the right resources, at the right time, for the right employees in your organization.

PSM Solutions offer a tested, validated, and novel approach to reducing the impact of chronic disease on your top and bottom lines, improving outcomes for even the most challenging patient populations.

The program delivers high quality, customized care that empowers your patient population to take control of their health. The APhA Foundation gives you the resources, programs and data to help you make the best decisions about improving patient care for beneficiaries, reducing the overall cost of healthcare and improving productivity by leveraging proven, innovative solutions.

We can help you provide targeted, effective care across patient populations, contain the cost of care for your population, reduce “event” incidence and avoid costs associated with uncontrolled chronic disease. With reimbursements becoming more dependent upon the quality of care, our goals are to reduce admissions, improve outcomes, and ensure that patients are receiving the most effective care.  

By categorizing patients into “beginner,” “proficient,” or “advanced” levels, which directly correlate their need for additional health education, treatment, or services, with targeted education to fill the gaps in patient knowledge, skills, and performance in the self-management of chronic disease.  

Unlike traditional patient activation measures or patient risk stratification tools, the PSMC provides targeted feedback about disease specific areas for focus and supplies links to resources that may be helpful to more efficiently and effectively address those needs. This ensures that the most appropriate quantity and level of care are targeted to patients based on their level of achievement.

 

1 PricewaterhouseCoopers Health Research Institute annual report: Medical Cost Trend: Behind the Numbers

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