Debilitating chronic disease is already enough of a burden; we find the best care solution to meet each member's needs.
A self-funded religious organization was receiving a renewal that included a significant laser on a member. The individual had been diagnosed with a chronic disease and was to undergo recurring treatment at a high cost and inconvenient location. The group asked Point C for help assessing healthcare treatment options.
By utilizing the Point C network, we were able to simultaneously reduce costs and enhance the experience for the member.
Point C conducted a thorough review of claims and plan spend as part of its ongoing commitment to optimizing client benefit plans. During the analysis, we identified both the pain point of member travel to the clinic, and the opportunity to reduce the cost of the Fabrazyme infusion. We reached out to a specialty pharmacy provider and negotiated a 10 percent discount through an infusion nurse network. In addition, the treatment would be delivered by a nurse at the member’s home.
By utilizing the Point C network, we were able to simultaneously reduce costs and enhance the experience for the member. The employer saved over $30k annually in infusion treatments, effectively getting one treatment for free each year. On top of these savings the employer was able to eliminate the laser. Most importantly, the member’s intensive treatment was simplified and made more accessible, eliminating the time and cost associated with travel and increasing consistency in monthly care.