HealthHelp, a leading provider of specialty benefits management services, has been incredibly successful in reducing healthcare costs and increasing efficiency. The company has delivered substantial cost savings for customers and improved patient outcomes by leveraging clinical expertise, advanced technology, and data analytics to make better decisions on healthcare.
HealthHelp was founded in 1999 with a mission to improve the quality and affordability of healthcare. The company offers a range of services, including radiology, cardiology, oncology, and musculoskeletal benefits management, which cover over 30 million patients across the US. HealthHelp’s clinical team is composed of physicians, nurses, and other healthcare professionals who provide clinical oversight for the specialties that the company manages.
One significant way that HealthHelp has reduced healthcare costs is through its radiology benefits management (RBM) program. Radiology imaging is one of the most expensive and fastest-growing services in healthcare. The RBM program helps reduce unnecessary imaging studies and directs patients to more appropriate imaging options. This results in significant cost savings for payers, employers, and patients.
The RBM program also improves the quality of care patients receive. Patients get faster and more accurate diagnoses, and clinicians have access to expert consults, which leads to better treatment plans. HealthHelp’s team of radiologists has a 99% acceptance rate on all imaging studies that require prior authorization. This means patients receive the necessary care without unnecessary delays or interruptions.
Another way HealthHelp has increased efficiency is through its musculoskeletal program. Musculoskeletal disorders are among the leading causes of disability and healthcare costs in the US. HealthHelp’s program offers clinical decision support, utilization management, and network optimization to help patients get the right care at the right time. HealthHelp’s musculoskeletal program has helped reduce unnecessary surgeries, improve outcomes, and lower costs for patients and payers.
HealthHelp’s success in reducing healthcare costs and increasing efficiency is due to its clinical expertise and advanced technology. The company’s clinical team reviews all requests for services and ensures that the most effective and appropriate interventions are recommended. Additionally, HealthHelp’s technology platform incorporates artificial intelligence and machine learning to identify trends and patterns and make better decisions on care.
In conclusion, HealthHelp has been incredibly successful in reducing healthcare costs and increasing efficiency. The company’s RBM and musculoskeletal programs have delivered significant cost savings, improved patient outcomes, and increased the quality of care. HealthHelp’s clinical expertise and advanced technology have been instrumental in achieving these results. As healthcare costs continue to rise, HealthHelp’s solutions are becoming more critical to the industry’s success.
