Specialty Care Management

Hospitals and Health CarePennsylvania, United States11-50 Employees

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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 imperative 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-funded employers of all sizes to mitigate 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, we offer FREE data analytics services for 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 info@specialtycm.com, call (267) 544-0566, or schedule a complimentary discovery call by copying this link into your browser: https://go.specialtycm.com/meetwithus.

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