Major Specialties and Patient Outliers
Benefits manager Tom Emerick, co-author of Cracking Health Costs, has pointed out how outlier claims are the biggest driver of the health care cost explosion. During his career, Emerick typically found that 6% of employees in a given year typically accounted for 80% of company medical costs. Emerick addressed this dynamic by implementing a Centers of Excellence program. This is a proven, successful strategy to tackle patient outlier costs.
Major specialty areas include, but aren’t limited to, the following:
- Musculoskeletal
- Cardiometabolic
- Cancer
- Transplant
- Dialysis
- Specialty drugs
