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If you are an employer
looking to control healthcare costs, read more to find out about what the
MedEncentive program means to you. The following information will show you the
actions you need to take to help your employees and their families enjoy higher
quality healthcare. At the same time, the information will show you how
MedEncentive can assist you in empowering yourself as a manager and your
employees to control healthcare costs in the most natural ways.
What is MedEncentive?
The MedEncentive program is
leading the way with a strategy of cooperation between the patient and their
doctor. This innovative health care program financially rewards both doctors
and patients for incorporating treatment guidelines – guidelines that
scientific and economic studies have proven are most effective in producing the
best health outcomes at the most affordable cost. The developers of the
MedEncentive concept have concluded through economic analysis that financially
rewarding doctors and patients for improving health care quality actually
reduces total health costs.
All of which, leads to better outcomes for the
patient, fewer lost workdays, and a greater return on the employer’s investment
in healthcare benefits. This is the basis for the MedEncentive Program-a
program that works because it's based on accountability and commonsense.
How does MedEncentive work with existing plans?
The MedEncentive Program is
designed to "bolt-on" to existing health plans (such as Blue Cross,
Medicare, commercial insurers, self-insured employers, etc.) to control
healthcare costs by improving the standard of care and encouraging healthy
behavior. MedEncentive accomplishes these objectives by financial rewarding both physicians and patients on a per-occurrence-of-care
basis for incorporating evidence-based medicine (EBM) and information therapy
(I x) through proprietary
Internet Website applications, simple but profound checks and balances, and
other innovative features. This method of financially rewarding accountability and
empowerment falls into a national movement referred to as pay-for-performance
or P4P.
How does MedEncentive help the employer control healthcare costs?
The MedEncentive Program
helps employers control their healthcare costs by coupling the proven concepts
of empowerment, accountability, evidence-based medicine, improved
doctor-patient communications, and financial rewards through a creative
Internet application. This is how the MedEncentive Program helps you the employer
achieve the best return on your healthcare investment.
What is the role of the employer in the MedEncentive Program?
As an employer, getting
doctors and patients motivated to be more accountable for achieving better
clinical outcomes are critical to controlling your costs.
To encourage your
employees and their doctors to participate in the MedEncentive Program,
financial rewards are suggested. These rewards are managed
automatically through the MedEncentive Internet application. As doctors and
patients indicate their understanding and adherence to treatment guidelines and
information therapy, they are financially rewarded.
To fully benefit from the MedEncentive Program, the employer should take the following steps:
- Understand why
MedEncentive reduces costs
Be familiar with why you and your
employees will be able to reduce overall health care costs by financially
rewarding doctors and patients for adhering to best practices. The basis for
this reasoning is supported by numerous studies and described in
documentation, which is available from the MedEncentive Program. - Understand how
MedEncentive operates
Be familiar with how the
MedEncentive Program works by viewing the employee instructional video so you
are prepared to answer your employee's questions. - Establish Employee
Financial Rewards Program
Establish your employee financial
rewards program and set-up procedures to process and pay financial
rewards immediately to your employees. Your health plan representative,
benefit consultant or MedEncentive can assist you in establishing an employee
financial rewards program that best suits your needs. - Present and Distribute
Employee Instructional Videos
Present the MedEncentive Program
instructional videos to your employees. You may also consider making copies
of the video for each employee or referring your employees to MedEncentive’s
website so they can viewed the instructional video at home with their families. - State your commitment
to the MedEncentive Program to encourage compliance
- Emphasize the importance
of Information Therapy
Emphasize to your employees the
importance of encouraging their physicians to prescribe information therapy
through the MedEncentive Internet application. - Be prepared to answer
employee questions to help with implementation
- Distribute written
materials and provider directories
- Have employees sign
acknowledgement form
- Distribute employee ID
card
- Provide internet
access
Provide Internet access to
participating employees who do not have Internet access at home so they can
receive their information therapy at work. - Provide educational support
These action steps are
spelled out in supporting documentation. In addition to your health plan, we
will provide all the necessary tools to help ensure your successful
implementation and maintenance of the MedEncentive Program. We take care of all
the details. We have a number of tools that we make available to employers and
we walk you through every step of the process for successful implementation.
We also work with Benefit Managers to provide the information and the knowledge
needed for them to inform their employees on what is different, and what is
new.
More Employee Concerns:
HIPAA Compliance
The MedEncentive Program is designed to provide the
security you need to protect your employees’ personal health information in
accordance with HIPAA regulations. The employer does not see any medical
information for their employees. The only thing the employer sees is whether a
patient is compliant with following the guidelines or not. The doctor knows,
of course, what the medical condition or situation is with the patient, so it's
completely HIPAA compliant.
Fraud and Abuse Prevention
The MedEncentive Program is also designed to prevent
potential fraud and abuse. We can track where the doctor and the patient goes
on the web site. We can see and track the duration; whether they print the
content; whether they truly respond to the questions. So we think the Internet
application that we have allows for, again, some ingenious ways to help monitor
adherence and make sure that people aren't taking advantage of the system.
Go to the "Product
Description" webpage to learn why physicians praise MedEncentive as
the "anti-cookbook medicine" solution that can help them manage malpractice
risk. Refer to the FAQ link to find out more information.
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