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

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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