#USA #Carrum Health #Specialty Care #Tennessee

Tennessee's Decision to Partner with Carrum Health

In a significant move to enhance healthcare services for its workforce, the State of Tennessee has recently selected Carrum Health as its partner for specialty care management. This initiative comes after a rigorous evaluation process, and Tennessee joins the ranks of several other states, including Maine and Nevada, that have embraced Carrum's innovative approach to healthcare.

Carrum Health is recognized for its value-based Centers of Excellence (COE) model, connecting employees to a carefully vetted network of providers specializing in high-quality and cost-effective specialty care. With over 1,000 COE providers in its network, Carrum aims to streamline healthcare spending and improve outcomes for the state's more than one million employees and their families.

The Rising Need for Quality Specialty Care

Healthcare costs continue to pose a challenge for public employers, necessitating a closer examination of how care is delivered and funded. State officials have voiced concerns regarding excessive spending, low-value treatments, and the inconsistency of care quality. This partnership with Carrum Health addresses these concerns directly, emphasizing the importance of access to top-tier providers who deliver meaningful health outcomes.

By offering all-inclusive pricing structures and a concierge-level member experience, Carrum seeks to enhance the quality and efficiency of care. Their services encompass comprehensive bundles for surgical interventions, cancer treatment, and management of chronic conditions, improving the overall experience for employees navigating the healthcare system.

Carrum's Proven Success in the Public Sector

The State of Maine has served as a precedent for this partnership, as it has successfully leveraged Carrum’s services since 2019, initially focusing on musculoskeletal surgeries before expanding to cancer care. Similarly, the State of Nevada selected Carrum for both musculoskeletal and cancer care services in 2023, citing improved member experiences and lower costs.

Sach Jain, the founder and CEO of Carrum Health, expressed enthusiasm about serving public sector employers, stating, "We're committed to delivering custom-built specialty care solutions to meet the unique challenges of state employers. Our priority is to connect Tennessee's employees with the best providers and simplify their journey through the complexities of healthcare payments."

Understanding Carrum's Unique Approach

Carrum's care model is based on the C.A.R.E. principles: Quality that is Curated for the top 10%, an emphasis on Appropriateness, risk-bearing partnerships, and End-to-end transparency in pricing. This ensures that the network not only delivers high-quality care but also provides clear cost savings for both employees and the states they work for. The result is a healthcare solution that not only prioritizes effectiveness but also transparency and accountability.

The emphasis on a tailored approach means that each specialty care line is catered specifically to meet the diverse needs of Tennessee's workforce. It enables seamless integration between primary and specialty care, facilitating a continuum that enhances patient outcomes.

Looking Ahead

As public sector entities continue to navigate the challenges posed by rising healthcare costs, partnerships like the one between Tennessee and Carrum Health represent a transformative step towards improving healthcare delivery and outcomes. By connecting state employees to high-quality specialty care, Tennessee positions itself to not only better manage healthcare expenses but also significantly enhance the well-being of its workforce. The partnership exemplifies a forward-thinking approach to employee health benefits, leveraging Carrum Health’s extensive experience and proven success to drive meaningful change in the healthcare landscape.

In conclusion, as Tennessee embarks on this new partnership with Carrum Health, it underscores a growing recognition among public employers of the need for superior healthcare solutions that prioritize quality, accessibility, and affordability. This strategic collaboration is expected to serve as a model for other states and public entities aiming to reform their healthcare systems for the better.