A Collaborative Approach for Payers, Providers, and Patients

Ursamin empowers care coordination between payers, providers, and high-risk patients, driving better health outcomes for all.

The Challenge

Streamlined communication for improved member care

With 76% of Medicare spending going towards patients with four or more chronic conditions ¹ , payers face significant financial challenges. Fragmented communication between payers and providers may lead to mismanagement of care plans, potentially resulting in higher healthcare costs and poorer member health outcomes.

The Burden of Manual Care Coordination

Current manual care coordination processes create a significant burden for overloaded provider clinics and already burnt-out clinicians.

This translates to:

Fragmented Care and Information Silos:

Individuals with multiple chronic conditions account for 71% of total healthcare spending.² This is largely due to their records scattered in separate systems, making it difficult to track conditions and identify areas where care is needed. Fragmented data prevents providers from getting a complete picture, leading to missed diagnosis, errors, and duplicate services.

Delayed Patient Care:

Inefficient communication between payers, providers, and members can result in mismanagement of care plans.³ This lack of care coordination can lead to delays in delivering crucial interventions and unnecessary emergency room visits for high-risk patients.

Clinician Burnout:

Overburdened providers struggle to keep pace with complex care needs. This can lead to decreased job satisfaction, increased medical errors, and ultimately, a negative impact on patient care. Medical errors due to poor coordination and communication are estimated to contribute to 10% of patient deaths in the U.S.⁴

Closing the Communication Gap:

Ursamin fosters a fully integrated care delivery system, empowering communication and collaboration between payers, providers, and extended care teams. Our core functionalities address the root causes of care coordination challenges:

Improved Point-of-Care Data Flow

Streamlining data capture and access at the primary care level ensures a comprehensive view of the patient's health.

Patient Risk Stratification and Personalized Care Plans

Leveraging data to identify at-risk patients, which enables targeted care plans for improved outcomes.

Practice Alignment for Enhanced Outcomes

Fostering a collaborative environment, to ensure all providers are on the same page for optimal patient care.

Effective Care Coordination is a Proven Cost-Saving Strategy

Ursamin's approach can deliver significant benefits for health plans.

Reduced Healthcare Costs

Studies have shown that effective care management programs for Medicare patients with chronic conditions can achieve savings of up to 10%.⁵

Enhanced Chronic Disease Management

Real-time data access leads to a 30% improvement in chronic disease management outcomes.⁶

Fewer Hospital Admissions and ER Visits:

Risk stratification and personalized care plans can reduce hospital readmissions by 18% and emergency room visits by 22%. ⁷

Improved Preventive Care:

Proactive gap closure increases preventive screening rates by 25% and treatment adherence by 20%. ⁸

Unlock Cost Savings with Streamlined Care

By focusing on care coordination for high-risk patients, specifically those with multiple chronic conditions (MCC), health plans can achieve substantial cost reductions.

Average cost per MCC patient: $14,000 ⁹
Potential cost reduction with Ursamin: 10%
Cost savings per MCC patient: $1,400

A health plan with 10,000 members, with 60% having MCCs, could potentially achieve $8.4 million in annual savings.¹⁰

Invest in Ursamin and:

Empower collaboration: Foster a collaborative environment between payers, providers, and patients.
Drive efficiency: Streamline care coordination processes.
Deliver cost savings: Enable significant cost reductions for health plans.

Partner with Us

Ready to quantify the impact of Ursamin firsthand? We invite health plans to talk with us about how to enable more physician success and deliver more value.

References

Centers for Medicare & Medicaid Services (CMS), “Chronic Conditions Among Medicare Beneficiaries,” CMS, 2020.
Buttorff C, Ruder T, Bauman M., “Multiple Chronic Conditions in the United States,” RAND Corporation, 2020.
McCarthy D, Ryan J, Klein S., “Models of Care for High-Need, High-Cost Patients: An Evidence Synthesis,” The Commonwealth Fund, 2020.
Makary MA, Daniel M., “Medical error—the third leading cause of death in the US,” BMJ, 2020
Smith M, Saunders R, Stuckhardt L, McGinnis JM, eds., “Best Care at Lower Cost: The Path to Continuously Learning Health Care in America,” National Academies Press, 2020.
Journal of the American Medical Informatics Association
Journal of Managed Care and Specialty Pharmacy
American Journal of Preventive Medicine
Wang T, Matheson TJ, Card D, Kraft S, Lizza C, Kenward K. Reducing unnecessary hospitalizations and rehospitalizations: a community health development approach. Medical Care. 2020;48(12):1198-1206