Managing specialty care has become one of the biggest challenges facing health plans today, and eye care is no exception. Retinal diseases are rising in both prevalence and cost, with much of the financial burden driven by expensive biologic...
Eye Care:
For most health plans, routine vision benefits are treated as just that – routine. An included exam, a pair of glasses, a checked box on a long list of supplemental benefits.
Diabetic retinopathy is one of the most common – and preventable – causes of vision loss among adults. Yet many health plans are missing a major opportunity to reduce risk, improve outcomes, and boost HEDIS® scores.
Innovations in Specialty Care: Advancing Quality, Outcomes & Savings in Dermatology
Specialty care is the second-leading driver of medical cost trend. That makes it an important area for innovation, where the latest tools, redesigned care pathways, and value-based models can help plans improve quality while managing rising costs.
The Future of Specialty Care is Value-Based
In specialty care, challenges like overutilization; fraud, waste, and abuse (FWA); and variations in provider performance drive up costs. Health plans often respond with cost-cutting measures that rarely deliver meaningful impact.
Specialty Care Management: The Hidden Lever Plans Can’t Afford to Overlook
Market forces are pressuring managed care leaders to deliver care more cost-effectively – without compromising quality. With strategic specialty care management, health plans can generate significant savings while improving outcomes.