Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid

ER Avoidance Case Study: Outreach Reduces Unwarranted Utilization, Save $706K

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Sponsored by: Carenet

A large commercial health plan expanded its partnership with Carenet Healthcare Services to further reduce non-urgent ER visits and associated costs.

For two years, Carenet had been conducting ER avoidance outreach to the plan’s members after their third non-urgent ER visit in a year. While the program was highly successful, Carenet and the plan identified an area of refinement — intervention timing and criteria — that would result in greater savings.

Download the full case study to learn how Carenet helped the plan save more than $235,000 over four months, representing an annualized savings projection of $706,000.

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