Pioneering Neurological Care Solutions

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Who We Serve

We’re dedicated to serving the patients with the following conditions as well as other related neurological conditions:

How We Help

Utilize Health offers a high-risk neurological care solution that collectively lowers care costs by 20-25% while maximizing overall health and functional outcomes for the members we serve.

The Hidden Costs of Patients with Neurological Conditions

Members with severe neurological conditions are very difficult to locate in claims data so their true costs are rarely understood. Sometimes these members are misclassified because they are classified according to the original diagnosis category.

Members can also fall out of the data because they don’t have easily identified diagnosis codes. Utilize Health has built a unique data algorithm that quickly identifies these members. Health plans are often surprised to find that this neuro member group represents up to 4-6% of their population and anywhere from 15-24% of total healthcare costs. This patient category is ripe for intervention.

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U.S. Claims Costs for Neurological Conditions:

$240 BILLION ANNUALLY

Take a Solution Focused Approach

Severe neurological members must be managed through a neuro-focused lens. Utilize Health manages member care through Patient Advocates, which are specialty trained clinicians that are well-versed in neurorehab and have worked in a multitude of neurological care settings. Patient Advocates focus on the whole patient through three key areas: Health, Social, and Environmental.

Data Analytics and Member Identification

Data Analytics and Member Identification

Utilize Health’s proprietary analytics model will quickly identify your severe neurological members and their corresponding risk levels. This allows us to manage different risk profiles with services commensurate to their needs.

Inderdisciplinary Neuro Care Team

Inderdisciplinary Neuro Care Team

Severe neurological members must be managed through a neuro-focused lens. Utilize Health manages member care through Patient Advocates, which are specialty trained clinicians that are well-versed in neurorehab and have worked in a multitude of neurological care settings. Patient Advocates focus on the whole patient through three key areas: Health, Social, and Environmental.

In-Home Delivery of Care

In-Home Delivery of Care

Community Health Workers are the “eyes and ears” of our program and work in the member’s home to address areas such as member/caregiver education, social determinants of health, early warning signs of secondary conditions, mitigation of barriers to care, etc.

Proprietary Care Paths

Proprietary Care Paths

Post-acute care guidelines are lacking for patients with severe neurological conditions. Neuro Patients do not follow typical recovery patterns. Using established evidence-based guidelines and its own program outcomes, Utilize Health is building new post-acute care trajectories for its members that will maximize their recovery potential.

In-Network Optimization

In-Network Optimization

Utilize Health has collected nearly 15 years of data on rehab facilities and specific therapies across the country. Using many data variables, this tool matches the member/diagnosis to the optimal in-network facility to generate the best possible health outcomes for that member. This is the only database of its kind in existence.

Telephysiatry and Telehealth

Telephysiatry and Telehealth

Physically getting to needed care is a primary barrier for Utilize Health patients. Most often the care that is needed are the services provided by Physical Medicine & Rehabilitation Providers or “physiatrists.” To meet this need, Utilize Health has integrated one of the country’s first Telephysiatry” service into its portfolio of care services. Patients can have an e-visit with a licensed Physical Medicine Provider right in their own homes.

Our Key Value Drivers

Our programmatic approach of providing specialized care management solutions delivers value in three key areas:

1. Improving Health Outcomes: By ensuring a neuro-focused care management approach along with an optimized care path and facility match.

2. Reducing Care Costs: By focusing on the appropriate levers that impact care costs the most, such as optimizing utilization, patient/caregiver education, hospital readmissions, secondary conditions and exacerbations

3. Increasing Patient Satisfaction: Through building a trusted relationship that extends to your brand.

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