Limited engagement with primary care.
3
Only 42.2% of patients without navigation visited a primary care provider (PCP) compared to 90% of patients with it. 3 Clinical guides play a crucial role in optimizing healthcare utilization by directing members without a PCP to essential primary care visits. They identify high-quality, in-network doctors, provide cost breakdowns of visits, and schedule appointments on behalf of the member, taking on the burden of healthcare management.
90 %
42 %
PATIENTS WITHOUT NAVIGATION
PATIENTS WITH NAVIGATION
4
Overpaid medical bills.
Up to 80% of medical bills in the United States contain errors, costing members without navigation an average of $1,300 on bills over $10,000. 4 Expert billing specialists provide comprehensive assistance to members with their medical bills, whether it’s answering a simple question, fixing an error, or disputing an insurance claim denial. They take on all the legwork for the member by coordinating with billing offices and carriers to correct and resubmit bills, reducing unnecessary spend.
The evidence is clear. Navigation is not only a smart choice but a necessary one. Through personalized clinical guidance, navigation minimizes healthcare obstacles and needless spending, all while delivering meaningful results. It’s time to take the tactical step and invest in navigation to increase value across every step of your employees’ healthcare journey.
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3. Science Direct 4. Benefit News
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