Specialty Care Management: The Hidden Lever Plans Can’t Afford to Overlook

Market forces, including margin erosion, looming budget cuts, and ongoing clinician shortages, are pressuring managed care leaders to deliver care more cost-effectively – without compromising quality. Yet when it comes to trimming costs, specialty services, such as eye care, outpatient therapy, dermatology, and others, are often overlooked. And this could be costing you millions. For example, in eye care, several commonly used Part B injectable drug treatments for various retinal conditions can cost $2,000 to $3,000 for a single injection. But with a step therapy program that utilizes a low-cost alternative with a similar safety and effectiveness profile when indicated, health plans have been shown to save $1.6M per 100K members. Therefore, strategic specialty care management can generate significant savings while improving outcomes. It can also help improve HEDIS scores and other quality measures.

Don’t leave specialty care on autopilot. Join this webinar to learn how your health plan can:

• Lower costs

• Improve quality metrics

• Reduce administrative burden

• Drive network efficiency

• Enhance member experience

Speakers:

H. Kelley Riley, MD, MBA, Chief Medical Officer, Health Network One

Afrouz Motedaeiny, OD, Senior Medical Director, Premier Eye Care

Moderator:

Kristin Gasteazoro, Chief Growth Officer, Health Network One

Health Network One (HN1) is a leading specialty management company providing value-based solutions that help health plans improve outcomes. With a nationwide network of credentialed providers, HN1 ensures high-quality specialty care in eye care, outpatient therapies, behavior analysis, dermatology, podiatry, and more. With over 20 years of experience, HN1 designs and manages specialty networks and clinically guided programs that support care delivery for more than 7 million members.

Through expertise in clinical quality programs and alternative payment models, we empower health plans to enhance provider collaboration and improve care delivery. For more information, visit www.healthnetworkone.com.