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As a valued partner, Summit Reinsurance Services continually assesses health care programs and services that provide quality outcomes and manage health plan costs for our clients and their members. We would like to introduce you to CareAssist, Inc., a specialty focused NICU Care Consulting firm, which specializes in neonatal care management and forensic review services.
Neonatal care has become a significant challenge and risk exposure that may adversely affect member satisfaction and healthcare costs. We believe that managing a neonatal case through collaborative, proactive care management and retrospective financial management of claims can result in positive outcomes for the families and significant cost containment for the health plan.
CareAssist has a proven track record for providing financial value to customers. The neonatal care management program has successfully reduced the length of stay by an average of 23% with an average return on investment of 7:1. In addition, CareAssist has achieved an overall savings of 24% on forensic review services.
We encourage you to consider CareAssist as a resource for your neonatal cases. CareAssist will coordinate their activities with your utilization review and care management staff. The CareAssist fees are eligible claims expenses and will be considered with other charges in excess of the specific retention according to the terms of your reinsurance agreement. CareAssist’s services are available on an individual case basis. At the time we become aware of a neonate case, we will contact the health plan case manager to discuss utilizing CareAssist for that case.
If you would like additional information regarding CareAssist, please contact Debbie Stubbs RN, MS, CCM at 260-407-3979 or dstubbs@summit-re.com.
Past Vendors:
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