Corp Health and Wellness Pro's Guide to Patient Advocates

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Corporate Health & Wellness Professional’s Guide to

Independent Patient Advocates

© by MedSavvy Health Advocates LLC 2015

Michele Hanley, BS, MPAMedSavvy Health Advocates LLC

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Current state of the healthcare system


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Medical Costs

Employer Cont.

Employee out of pocket

Employee Contribution

59%

25%

16%


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This has been healthcare and insurance company answer.

More Services Fewer Primary Care DocsLess time/patient More TreatmentsMore Technology More DrugsLess Communication InsuranceElectronic Medical Records More SpecialistsToo many CHOICES and Confusing DECISIONS!

Tool & Info Overload


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Information + Tools Knowledge


•86% of a representative sample of 24-65 year olds withhealthcare insurance DID NOT understand traditional healthinsurance concepts — deductible, copay, co-insurance andout-of-pocket maximum

• 89% of people were NOT able to compute the cost of a four dayhospital stay when given the information that should haveenabled them to do so.

-Journal of Health Economics, Volume 32, Issue 5, September 2013, Pages 850–862

05/02/2023 © by MedSavvy Health Advocates LLC 2015

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Human Resource Efforts•Employee assistance programs•Wellness programs •Flex time and flex accounts•Health savings accounts

Great innovations but ……………… illnesses still occur, accidents and trauma still happen, families still face almost insurmountable medical bills.

And all these can lead to employees missing work, being distracted, quitting to care for family members, declaring bankruptcy.

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Traditional HelpWe have relied on:

Family and friends Emotional baggage, family dynamics, Limited knowledge of healthcare industry

Employed patient reps and nurse navigators Mixed loyalties (who pays them?) Limited service range


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A Better Solution - Independent Patient AdvocateSomeone who:Supports and promotes patient’s rights. Guides and helps them navigate the healthcare system. Ensures a patient’s voice is heard and respected.Guarantees patients get the care they needResolves conflictsWorks synergistically with your current program


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Services Might IncludeCare coordination and navigationAccompanying to appointmentsLiaison between patient and doctor or other providerDiagnosis and treatment option research and explanationsCoordinating medical records and medicationsHelp preparing advanced directivesAuditing bills and negotiating denied claimsHelp in choosing best insurance coverage…………and much more……………………


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Employer Benefits

Presenteeism and productivity Negotiating power with insurer Recruiting and retention of valuable employees

Absenteeism Turnover Medical claims Confidentiality liability

Cost

Bottom Line = Better Business


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Employee Benefits


Personal responsibilityProblem resolutionUnderstanding and knowledge

Out–of-pocket costsStress and distraction

Quicker return to full attention and attendanceBottom Line = Peace of mind

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Website: www.medsavvyhealthadvocates.comBlog: Better Savvy Than Sorry(719) [email protected]

Michele Hanley, BS, MPA

Contact me today to find out how we can help your business decrease medical costs and increase employee loyalty and productivity.


http://www.medsavvyhealthadvocates.com/

Corp Health and Wellness Pro's Guide to Patient Advocates

Health & Medicine

Transcript of Corp Health and Wellness Pro's Guide to Patient Advocates