Medical Management Impact

• Triage Service

• 80% redirection of care

• Claims-based studies show up to 3:1 ROI

• After Hours UM Services

• 10.8% reduction in bed days/1000

• 12.2% reduction in ALOS; ROI=7:1

• 24x7 UM Services

• 18.8% reduction in admits/1000

• 17.5% reduction in bed days/1000

• Disease Management Services

• Hospital admissions reduction for asthma range from 37-43%*

• 20-22% reduction in asthma-related ER visits*

• 18% increase in anti-inflammatory medication compliance among asthmatics

• 33% increase in use of glucose meters among diabetics

*Claims based

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