Minimizing costs and
optimizing clinical performance
Medical Case Management Group
Member Veritycare Services Network
Medical Case Management Group has expanded its case management services offering to include a new medical risk management program called Veritycare Assurance.
Veritycare Assurance is a comprehensive risk management program made up of the following elements:
1. Special purpose insurance plans designed to supplement existing self-insured health benefits and workers compensation programs for the purpose of financing and mitigating high-risk, high cost claim exposure, thus reducing the program's underwriting and administrative costs.
2. A professional management company that operates the supplemental plans as a shared service for individual participating self-funded insurance programs, ensuring efficiencies, low initial and ongoing operating costs.
3. A medical risk mitigation team of Nurse Case Managers and Medical Directors supported by advanced technology, financially motivated to drive better medical outcomes and lowering medical costs.
4. An innovative engine for creating networks of Plan Sponsors, their members and families and Healthcare Providers working together to achieve better clinical outcomes.
An entire program is supported by a cloud-based medical management application that connects the risk management team, adjusters, nurse case managers and patients into a common network designed to facilitate communication, medical records access and medical provider collaboration.
Perform extensive risk assessments of our client's healthcare and workers compensation risks and we develop enterprise specific medical management plans to assume and mitigate those risks.
We design and build networks of the best specialized healthcare providers and engage those providers to deliver care consistent with value-base contracting and bundled payments. We share the savings with our the Plan Sponsors.