disease management offerings

How To Reduce Medical Claims by 10%+ Using One-on-One Disease Management.  Learn More ...

smartphone Video Based

Basic Package

$7-$9

pepm
  • One-on-One Disease Management Delivered via Smartphone Video
  • Meetings Are Held Every Month
  • Proprietary Risk Identification Process
  • Employees Are Managed Toward Evidence Based Medical Norms
  • High Risk Medical Care Coordination
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In-Person & Video Based

Standard Package

$9-$11

PEPM
  • Nursing In-Person Meetings 4 times per year
  • Video Based Meetings The Other 8 Months of the Year
  • Proprietary Risk Identification Process
  • Employees Are Managed Toward Evidence Based Medical Norms
  • High Risk Medical Care Coordination
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In-Person All 12 Months

Enhanced Package

$11-$13

PEPM
  • In-Person Meetings With Identified High Risk Members
  • Meetings Held By Sky Nurses Every Month Of The Year
  • Proprietary Risk Identification Process
  • Employees Are Managed Toward Evidence Based Medical Norms
  • High Risk Medical Care Coordination
Contact Us

Face-to-Face Disease Management

Most Independently Researched Program in Existence
Employer Disease Management

In 1996 at the City of Asheville in Asheville, North Carolina, a ’new model’ of healthcare was emerging which involved identifying high-risk health plan members and conducting one-on-one meetings with healthcare personnel. The goal was to get the high risk plan members to become compliant with the medical norms of their specific health condition or disease. These efforts ultimately received national notoriety and became known as the Asheville Project and later through national grants as Ten City Challenge.

In the years that followed, over $2,000,000 was spent studying the effectiveness of the program. In the end, the program is the most independently researched, peer reviewed, and published disease management program in existence! Simply put, the results speak for themselves.

A recent study of the total medical claims of our employer clients versus that of a major, national insurance carrier revealed our claims were 19% less than their norms. These results were achieved through our nurses meeting one-on-one with high risk participants, every month.

Sky Disease Management delivers highly measurable and identifiable data showing actual claims savings to our clients, and due to this success we have built great stop loss relationships with preferred pricing and plan provisions. Through coupling our medical management with the procurement of reinsurance, you can now capture full credit for your health management efforts.

  • Risk Identification Process

    Our proprietary risk reduction process begins by identifying current and potential high risk members within your group. This is typically performed through a health risk assessment distributed to all adult members on the health plan (or only adult employee members, as the client desires). If the employer has access to more robust claims information systems, we would request to have access to this information also.

  • Risk Stratification

    Once these risk assessments have been returned, our medical staff will begin their review to identify the high risk members whom will be targeted for ongoing monthly meetings. The typical employer will have 90% of the employees considered ‘under control’ after this risk assessment, and nothing will be required further of them for the given calendar year.

  • One-on-One Meetings

    After the stratification of risk has taken place, our nursing staff will begin coordinating one-on-one meetings with the identified high risk participants. During these meetings, we will be assisting plan members to become understand and become compliant with evidence based medical norms.

  • Results

    A recent study of the total medical claims of our employer clients versus that of a major, national insurance carrier revealed our claims were 19% less than their norms.

Email Us, or call 888-663-6503