Utilization Management
Each of the registered nurses performing review
services has over 15 years of clinical experience. Every hospital
claim for in-patient or out-patient services is independently
reviewed by Prairie States' nurses who have clinical experience. Our
nurses are committed to staying current through continuing education
programs. We have online access to the latest information from the
FDA, the Center for Disease Control, and other leading research
institutions.
Large Case Management
Typically, 10% of a company's employees account
for 80% of health care costs. Large case management strategies
effectively reduce the over-all cost of caring for the critically ill
by exploring options which are advantageous to the patient. Our
experience has shown that $12-$15 can be saved for every $1 spent
advocating on behalf of the patient to service providers. Prairie
States' philosophy is that the right clinical care for the
patient is always the most cost-effective.
Preferred Provider
Organization
PPO rate reductions are provided in exchange for
rapidly paid bills and an increased number of patients. Prairie States
works with your existing PPO or will help you select a quality,
convenient PPO that is the best fit for your organization.
Prescription Drug Programs
Prairie States can help you manage this potentially
costly benefit, whether claims are for both pharmacy-based
prescription services or chronic drug maintenance programs.
|
