U.R.N Programs for Specific Diseases: Cancer Resource Services (CRS)

Treatment of many cancers is complex and costly, representing approximately $18 million per 100,000 lives per year. CRS targets the relatively small number of complex cancer patients that drive the majority of medical expense. The new cancer annual incident rate is 0.23%, with 1/3 of those cases considered complex. (SEER Cancer Statistics Review 1975-2000, National Cancer Institute.) There are significant practice variability trends for complex cancers. CRS provides unparalleled clinical and economic value in managing complex cancers by:

• Helping patients make informed decisions about their cancer care
• Connecting patients with experts at the 15 cancer centers in the
• U.R.N. Cancer Centers of Excellence Network.
• Helping payers manage their cancer costs by providing contractual discounts and realizing cost avoidance savings
• Procedure case rates for major surgical procedures in some contracts
• Discounts of 15%-35% for outpatient and physician services
• Lower case costs with shorter length of stay and cost avoidance by reducing unnecessary and inappropriate treatment

The U.R.N. Cancer Centers of Excellence delivers proven results.  An ROI of 2:1 to 4:1 is very achievable with good communication and implementation of referral strategies. U.R.N.’s fees are based on a percentage of savings.

Not all cancer diagnoses are appropriate for referral to CRS. Contact Debbie Stubbs at Summit Re if you would like a copy of the CRS referral diagnosis list.

Manage Cancers Through Summit ReSources

One of United Resources Network’s newest programs, Cancer Resource Services (CRS) program, is available to Summit Re clients.  It provides access to centers of excellence for complex cancer care, according to a recent teleconference presented by URN and hosted by Summit ReSources. Expense Savings

CRS can significantly reduce your complex cancer-related expenses. Expenditures in 2005 for complex cancer patients are predicted to reach $5.2 million for plans with 50,000 lives.  CRS can decrease claims costs by up to 41% through contractual discounts and cost-avoidance savings.

Quality Care

CRS significantly improves the quality of care delivered. Quality of care is demonstrated at Centers of Excellence cancer centers by fewer complications and higher survival rates.  Lengths of stay are shorter and patient satisfaction is higher.

Market Position

CRS will strengthen your position in the marketplace. By being the first to offer the program in your service area, you gain a competitive advantage. The program offers access to world renowned cancer centers and programs, both regionally and nationally. CRS directly addresses a high-profile, costly medical condition. CRS can begin to serve the needs of your complex cancer population immediately.

For information on how to access the CRS program, contact Debbie Stubbs at 260-407-3979 or dstubbs@summit-re.com.

Summit ReSources Portfolio of Services: Disease Management

Cost savings from proactive disease management coupled with patient self management through education: Health Management Corp., Inc.

This award-winning health and disease management company addresses high-cost, high-impact conditions to achieve definitive value for health plans, employers and government entities.  Disease management is available for asthma, congestive heart failure, chronic obstructive pulmonary disease, coronary artery disease, diabetes, low back pain and metabolic disorders (e.g. obesity).

Quality Oncology

Quality Oncology, a subsidiary of Matria Healthcare, Inc., is the largest and most experienced provider of comprehensive cancer treatment support programs. Quality Oncology’s approach utilizes the expertise of seasoned oncology nurses and physicians, assisted by a state-of-the-art, web-based Integrated Care Management system with embedded evidence-based cancer treatment guidelines.

Matria Healthcare, Inc.

Total Health Enhancement Solution includes a combination of preventive, educational and care management services and programs designed to curb costs while improving employee health. Programs include maternity (including gestational diabetes and high-risk pregnancy), neonatal intensive care, asthma, chronic obstructive pulmonary disease, coronary artery disease, congestive heart failure,   diabetes, depression, acute low back pain, and obesity management.

United Resource  Networks

URN’s Cancer Resource Services program targets the relatively small number of complex cancer patients that drive the majority of the medical expense related to the treatment of cancer.

EnvisionCare Alliance, Inc.

EnvisionCare’s Kidney Management Services (KMS) program provides clinical consulting and administrative services that can reduce complications and costs associated with end stage renal disease.