#USA #San Francisco #Carrum Health #Value-Based Care #Included Health

A New Era in Value-Based Specialty Care

In a groundbreaking move set to revolutionize the landscape of healthcare services, Included Health and Carrum Health have announced a preferred partnership aimed at providing value-based specialty care. This partnership comes in response to the escalating healthcare costs faced by employers, particularly in the realm of specialty care, which constitutes nearly half of such expenses. By integrating Carrum's esteemed Centers of Excellence (COE) network into Included Health's Alternative Health Plan, they are putting forth a comprehensive solution designed to connect members with top-tier care while also ensuring predictable pricing.

Why This Partnership Matters

Healthcare costs have surged beyond manageable levels, with employers grappling with a dramatic rise in expenditures largely driven by specialty care. To combat this trend, strategic partnerships offering more than just basic provider searches are essential. The collaboration between Included Health and Carrum Health takes innovative steps by embedding high-quality specialty services directly into the healthcare journey of members.

According to Dr. Ami Parekh, Chief Health Officer at Included Health, “Specialty care is often where the biggest decisions and the biggest costs sit.” By seamlessly integrating Carrum's services, they are able to streamline patients’ experiences and mitigate the confusion surrounding costs and options, all while enhancing the quality of care.

Connecting the Dots Between Primary and Specialty Care

The partnership focuses on critical medical procedures that often require specialized attention, such as surgeries, cancer treatments, and substance use disorder management. Early identification through primary care, coupled with advanced data analytics, allows Included Health to refer members to Carrum for high-quality care without compromising their experience.

Matthew Eurey, Chief Commercial Officer at Carrum Health, emphasizes the potential efficiency of this collaboration: “This partnership offers employers one comprehensive solution to manage primary and specialty care from day one. That reduces the burden on individuals facing significant health challenges and alleviates complexities for employers.”

Benefits for Members and Employers

1. For Members: A more cohesive and guided healthcare experience. From the initial referral through recovery, members will receive unparalleled support, ensuring they navigate their treatment journey without facing unexpected costs or complications.
2. For Employers: Enhanced employee engagement with their health plans through straightforward processes, predictable costs for treatment episodes, and a unified approach that simplifies healthcare management.

Together, Included Health and Carrum Health are set to redefine how specialty care is managed and delivered, putting patient experience and cost predictability at the forefront of healthcare solutions.

About Included Health

Included Health stands out as a modern healthcare company dedicated to revolutionizing access to healthcare for millions across the nation. Their integrated approach encompasses both virtual and in-person care, providing members with support that spans clinical and administrative needs.

About Carrum Health

Carrum Health's mission is clear: to fundamentally alter the payment and delivery systems of specialty care. Through a rigorously vetted network of Centers of Excellence, Carrum ensures self-insured employers and plan sponsors can offer their members high-quality care at predictable costs.

For additional insights and to explore the benefits of this significant partnership, further details are available at Included Health and Carrum Health.

In a time where healthcare costs are ballooning, collaborations like this are not just beneficial but essential for employers aiming to provide their employees with better care and services.