Given the expertise required to understand the unique market dynamics of the self-insured market, the dialysis provider community and ERISA, outsourcing the management of these costs has become a key solution. Payers and administrators now look to DCC and our knowledge in developing innovative dialysis cost containment services that include Usual and Reasonable (U&R) recommendations, provider negotiations through Single Patient Agreement, access to specialty and PPO networks, and patient self-administered care.
As the innovative leader in Dialysis cost containment, DCC is the sole licensee of the pending health care benefits claim review and recommendation systems and methods patent, and has also developed comprehensive renal cost management products and services that promote high quality care, while managing cost.
- Payment-based Usual and Reasonable (U&R) Service, delivers significant savings by factoring in the providers’ own payment data. There is no stronger or more defensible U&R methodology than one that includes relevant data about the actual payments received from all payer sources.
- Single Patient Agreement (SPA) Service, combines our unique referral process with our negotiation expertise and the solid relationships we’ve built with providers to deliver the greatest savings obtainable – with “sign-off”.
- Epogen® Carve Service, creates high dollar savings while promoting greater patient independence. Savings are relative to the level of Epogen prescribed, but can exceed $100,000 annually for members with significant Epogen usage.
- Home Hemodialysis Service, offers members many health and lifestyle advantages over traditional in-center dialysis that include feeling better, reduced fatigue, reduced dependence on medication, improved sleep, a longer life and, most important, a better quality of life. Best of all, there is a significant reduction in related medical spending for members using home hemodialysis.
- Renal Data Management. Through our Renal Date Management program, DCC, Inc. can help employer groups be preemptive, putting cost containment measures in place to potentially avoid huge monthly dialysis expenditures.