Insurance Providers, Payers and Employers

Determining the Right Medicine at the Right Value for Health Plan Members

There is a bewildering range of medications available for managing the health conditions of plan members. Health plan medical directors and other professionals must constantly adjust and readjust formularies and co-payment requirements to provide members and their providers with the safest and most cost-effective choices of medications. Still, it is extremely difficult to know whether the medications that contracted providers prescribe for their members are the safest and most cost effective (in terms of out-of-pocket costs) for particular patients and their specific conditions.

Determining Which Imaging Studies are the Safest and Most Cost Effective in Diagnosing Members' Conditions

Medical imaging costs are growing even faster than pharmaceutical costs. Many of the newer technologies are becoming as effective in diagnosing conditions as exploratory surgery. Still, there are many options that vary according to diagnostic predictive value, costs, degree of invasiveness and safety to patients. The pre-certification process can be (and usually is) a time consuming exercise for health plans, patients and doctors. SafeMed reduces the costs to insurance payers for the pre-certification process.

SafeMed Solutions for Insurers

SafeMed works with insurers to drive excess cost out of healthcare by providing clinical decision support tools at the point of care that enable physicians to choose the most affordable and safe medicine or imaging test for their patients. While avoiding gaps in care. SafeMed's Imaging™, Pharma™ and Quality™ solutions help physicians choose the most appropriate and affordable treatment for their patients. SafeMed Analytics™, helps insurers identify gaps in care by evaluating practice trends among network physicians and patients.

If you are an insurer and you are interested in learning more, please contact us.