
Surprises can be fun, except when it comes to one’s health. Our work-site medical management program can provide the special care and attention needed for those unexpected moments and lead to better health for your employees and financial well-being for your company.
Nationwide Better HealthSM provides independent, URAC-accredited medical utilization and case management programs to ensure that your employees optimize their health plans. We address their medical needs whether they are planned or unexpected, and regardless if they represent a single event or extended care arising from catastrophic illness.
Better for you
- Ensures efficient use of your health care dollars by providing employees with appropriate care for their conditions through focused utilization review
- Improves outcomes by addressing non-clinical issues, such as family problems, financial barriers to compliance, benefit limitations and treatment challenges, that can undermine health
- Uses evidence-based clinical guidelines as a framework for evaluating medical necessity and appropriateness of services
- Streamlines regulatory compliance by providing reliable review timeframe and notices that meet state and ERISA regulations
- Provides access to HIPAA-Compliant web-based reporting tools for daily census, open/closed cases and large case reports
- Manages costs with valuable oversight by a team of on-site medical directors for case review and peer-to-peer consultations
- Ensures that inpatient services are not used when outpatient home care or other levels of care can be used safely and within medical standards
Better for your employees
- Empowers individuals to take a more active role in improving their health
- Integrates clinical services and offerings to ensure seamless referrals to appropriate programs, such as case management, disease management or maternity management
- Offers discharge planning at time of admission to ensure understanding of next steps, such as lifestyle modifications, the need for proper assistance at home and how to reduce hospitalization
Ready to talk about improving the health of your employees and your business? CONTACT US TODAY!