What is DirectCare Concierge?
Care Navigation Multi-lingual
Technology and Telephone access to a Care Concierge to answer any questions and provide support including:
Finding a Provider- Confirm network status of providers and coordinate scheduling and transportation.
On-Demand Provider Network- See one
of 900,000+ contracted providers OR... let us create an on-demand contract for the personal care you seek.
Quality Physician Referrals- Receive primary care and specialist recommendations based on patients needs. Confirm availability, appointments and acceptance of payment.
Support Direct Contract Options- Maximize the utilization of the high quality, high value providers.
Verify Benefits and Coverage- Explains and resolves billing issues, denials and balance bills
Out-of-Pocket Assistance Program- Receive member discounts and payment plans for Out of Pocket expenses.
Incentive Management Program
• Saves money and increases member satisfaction by supporting Center of Value utilization
• Reduces employer’s medical spending by 6% - 12%; Employees save 40% on Out of Pocket; 15%-80% per Episode
• The only program that supports network optimization, direct contracts and variable incentives
Proactive Population Health Program
• Identifies avoidable spending –ER, Branded Rx, High Cost Providers
• Improves Rx Compliance and Reduces Population Health Risk
• Monitors Screening compliance and identifies gaps in care
• Offers a proactive outreach program