Specialty Care Management leads the industry with clinical programs designed to halt kidney disease progression, dramatically improve member health, and safeguard health plan assets from costly, complex claims. Below is a sample of outcomes achieved with our approach. Curious to see what's possible for your self-funded health plan? Let's get to work --> https://lnkd.in/eVwxPcUd #SpecialtyCM #KidneyDisease #CKD #RenalDialysis #CostContainment
Specialty Care Management
医院和医疗保健
Lahaska，PA 2,463 位关注者
SCM is the industry leader in dialysis cost containment and CKD management solutions. Lets get to work.
关于我们
Thank you for checking us out – we're glad you're here! Specialty Care Management is the industry leader in dialysis cost containment and chronic kidney disease (CKD) management solutions. With 1 in 7 U.S. adults facing kidney disease (over 35 million Americans) and the average dialysis claim exceeding $500,000 per year, it’s essential for self-funded health plans to have a reliable risk management partner to address these challenges. Specialty Care Management is that partner. Founded in 2002, we work with self-insured employers of all sizes to mitigate risks of both the human and financial costs associated with renal dialysis and CKD claims. Our primary lines of business include Dialysis Risk Management & Repricing, Chronic Kidney Disease (CKD) Management & Clinical Coaching, and Comprehensive Data Analytics. We bring together top talent in Healthcare Administration, Clinical Case Management, and Provider/Payee Contract Law to deliver innovative and effective solutions. Moreover, our programs can be implemented off-cycle, are TPA agnostic, and SCM proudly boasts ZERO % of savings fees, implementation fees, or other ancillary fees, common across the industry. Further, and notably, we offer FREE data analytics services for both prospective and enrolled plans, allowing SCM to proactively analyze risk levels within the member population and identify pre-dialysis claimants before they escalate into multimillion-dollar claims. This data-driven process in tandem with our industry-leading clinical programs allows SCM to help reverse and mitigate various pre-dialysis conditions, enhancing member health while safeguarding plan assets. To learn more about our solutions, email us at [email protected], call (267) 544-0566, or schedule a complimentary discovery call by copying this link into your browser: https://go.specialtycm.com/meetwithus. We value the opportunity to work with you.
- 网站
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https://www.specialtycm.com
Specialty Care Management的外部链接
- 所属行业
- 医院和医疗保健
- 规模
- 11-50 人
- 总部
- Lahaska，PA
- 类型
- 私人持股
- 创立
- 2008
- 领域
- Catastrophic Claims Management、Renal Dialysis Repricing、Risk Mitigation、Cost Containment、Medical Underwriting、Renal Risk Analysis、Chronic Kidney Disease (CKD) Management、Member Education和Self-Funded Health Plan Optimization
地点
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主要
获取路线
PO Box 732
US，PA，Lahaska，18931
Specialty Care Management员工
动态
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?? Dialysis claims can exceed $500,000 per year, per member— is your self-funded plan prepared? At Specialty Care Management, proactive risk management is at the core of what we do. Our FREE Renal Risk Assessment empowers health plans, TPAs, and stop-loss carriers to: ? Recognize kidney disease trends ? Identify volatile dialysis claims to be lowered ? Influence Stop Loss premiums No setup fees. No risk. Just data-driven, actionable insights. Let's get started --> https://lnkd.in/eVwxPcUd Learn more about SCM's Renal Risk Assessment --> https://lnkd.in/esgXTbuU #SpecialtyCM
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?? November is National Diabetes Month Why It’s Important for Benefit Brokers and Health Plans? Consider this: 1 in 3 adults with diabetes have CKD, and diabetes is the primary cause of nearly 50% of all new kidney failure cases in the US. What's more, diabetes is a major driver of polymorbidity, including hypertension, obesity, hyperlipidemia, infection, inflammation, and even cancer. Early intervention can make all the difference. At Specialty Care Management, we’re here to help. Here's how we get it done: ??Risk Identification: Our FREE data analytics tools for enrolled plans pinpoint members at risk of diabetes-related conditions. ??Targeted Intervention: Our strategic nurse coaching programs support members in managing diabetes effectively, delaying or avoiding kidney disease progression. ??Cost Savings: By addressing risks early, we reduce high-cost claims tied to advanced CKD and dialysis. Ready to learn more how we can help your plan reduce active costs, mitigate future risk, and improve population health? Let’s get to work -- https://lnkd.in/eVwxPcUd #NationalDiabetesMonth #SpecialtyCM
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We're excited to share that Kimberlee Langford, VP of Clinical Services at Specialty Care Management, has been selected as a finalist for the 2025 YOU Powered Symposium Awards: Most Influential Clinician in Insurance! ?? This peer recognition highlights Kimberlee's industry-wide impact, dedication, and ongoing commitment to advancing healthcare and supporting patients—values we proudly uphold at SCM. The next step? Help Kimberlee bring this award home...click here to vote -- https://lnkd.in/eTjwRmyP #SCM #ClinicalExcellence #YOUAwards2025
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Specialty Care Management's FREE suite of data analytics for enrolled plans monitors claims data monthly to identify trending kidney disease and pre-dialysis conditions before they escalate into multimillion-dollar claims. Armed with actionable insights, SCM can then deploy proven clinical interventions that not only curb rising costs but also significantly improve member health outcomes. It costs nothing to sign up. Learn more about SCM’s data analytics capabilities and Renal Risk Assessment: https://lnkd.in/esgXTbuU Meet with sales and get started: https://lnkd.in/eVwxPcUd #SpecialtyCM
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Today, we honor the courage, dedication, and sacrifices of our Veterans. Their unwavering commitment and selflessness remind us of the true meaning of service. We'd like to extend a special thank you to Specialty Care Management employees who have served, including Kimberlee Langford, BSN RN CCM CRMT CPC and Steve English. #HonoringHeroes #VeteransDay #SpecialtyCareManagement
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In the peak of renewal season, Specialty Care Management is here to help benefit brokers introduce innovative solutions and write more competitive quotes for self-funded plans. As the industry leader in dialysis cost containment and CKD management solutions, SCM helps plans reduce active costs, mitigate future risk, and improve overall population health. Download our full one-page services overview to learn more: https://lnkd.in/eK7BkdrR Click here to meet with sales for a complimentary discovery call: https://lnkd.in/eVwxPcUd. Let's get to work. #SpecialtyCM #RenalDialysis #CKD #CostContainment
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?? Trick or Treat? Don’t let kidney disease haunt your health plan’s budget! ??With 1 in 7 U.S. adults facing kidney disease, and many progressing to dialysis, self-funded health plans need a cost-containment partner to help manage these high-cost claims effectively. Specialty Care Management is that partner. Meet with the best team in the business and discover how we can help lower active costs, mitigate future risk, and improve overall population health -- https://lnkd.in/eVwxPcUd #KidneyDisease #CostContainment #SpecialtyCM #HappyHalloween
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?? Renewal season is here! Specialty Care Management is here to help you craft competitive quotes and introduce innovative solutions for your self-funded groups. Kidney disease is the fastest-growing noncommunicable disease in the U.S., impacting over 35 million Americans. As a leader in managing dialysis and CKD impacts, we proudly partner with self-funded health plans of all sizes to control costs, reduce risk, and improve population health. And here’s more: we offer ZERO implementation or % of savings fees. Enrolled plans often see a positive effect on stop-loss renewals, with increased chances of lowered or eliminated lasers. Meet with the best team in the business to learn more -- https://lnkd.in/eVwxPcUd #SpecialtyCM
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What’s more, 9 out of 10 people with kidney disease are unaware they have it. And with the average dialysis claim well exceeding $500,000 per year, it’s no wonder self-funded plans without a dialysis risk management plan in place are losing sleep… But not on our watch. Specialty Care Management is in the industry leader in dialysis cost containment and CKD management solutions. We partner with self-funded plans of all sizes to (1) reduce costs of active dialysis cases through competitive case rates and underwriting, (2) monitor claims data continuously to identity pre-dialysis claimants and intervene with proven clinical programs, and (3) overall, safeguard health plan assets while improving member health. Learn more with a complimentary discovery call with the best team in the business – https://lnkd.in/eVwxPcUd #SpecialtyCM #RenalDialysis #KidneyDisease #CostContainment
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