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.
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.Learn More
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.
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.
“Utilize Health made it easy to locate resources in my neighborhood, set up appointments, and feel confident. Their work has taken a huge weight off my shoulders.”
-Health Plan Member
“While I was in the hospital for my stroke, Utilize Health walked my family through the healthcare system every step of the way. We are forever grateful for this company!”
-Austin Stuck (patient)