Organizations all along the care continuum, including payors, hospitals and providers of community-based care have indicated that AMC has a solution that responds to their unique business priorities.
| CLIENTS |
CLIENT IDENTIFIED PROBLEMS |
ADVANTAGES OF AMC’S SOLUTION |
Insurers/ Managed Care Organizations
|
- Rapidly escalating costs and inability pass on those costs or risk
- Looming shift toward Pay-for-Performance
|
 | Provides "real" proactive disease management |
 | Demonstrable improvement in clinical outcomes |
 | Scalable to large populations |
 | Centralized health information repository usable across multitude of clinical settings |
|
| Disease Management Providers |
- Shrinking credibility in efficacy of traditional, retrospective data mining model
- Labor intensive for inconclusive payoff
|
 | Provides mechanism for proactive, targeted care management |
 | Easily integratable with existing processes |
|
Government (as insurer) |
- Exponential growth in costs without concurrent improvements in outcomes
- Looming crises in care resources over the next 30 years
- Massive indirect costs due to lost productivity of informal caregivers
|
 | Demonstrable savings and improved clinical outcomes |
 | Allows overextended providers to provide quality care in disproportion to resources |
 | Effective tool to extend care to rural and underserved areas |
 | Enables informal caregivers to provide more effective long-distance care |
|
Benefit Administrators for Self-Insured Organizations |
- Cannot absorb high cost outliers in the same way as large insurers due to size
- Must be sensitive to employee/patient satisfaction
- Must be vigilant to safeguard employee confidentiality
|
 | Demonstrable cost savings |
 | Effective tool to target most damaging diagnostic profiles |
 | Wide patient and family caregiver appeal |
|
Partially-Capitated Long Term Care Providers |
- Acutely unstable patients account for large share of quotidian chronic care costs
- Highly sensitive to outcomes performance
- Not positioned for inevitable shift toward global risk
|
 | Low cost of solution for demonstrable outcomes payoff |
 | High patient satisfaction |
 | Ease of integration into existing care model |
|
Globally Capitated Long term Care Providers |
- Very high utilization eroding even generous reimbursement caps
- Limitations in current ability to proactively manage pre-acute conditions before catastrophic exacerbations
- Insufficient clinical resources for high need population
|
 | Most effective tool to catch pre-acute situations when clinician cannot be physically present |
 | AMC performs consultative function to assist providers in choosing the best available technologies for their patients |
 | Extends the staff capabilities with minimal training |
|
| Assisted Living Providers |
- Profound marketing handicaps given unarticulated place within the care continuum and inadequate care
- Inability to manage deteriorating health of residents to the point of eviction
- Eroding lengths-of-stay
|
 | Low cost solution to keep residents aging in-place |
 | Powerful marketing instrument to increase census |
|
Provider Communities (Hospital-Based Programs and Physician Groups) |
- Need to draw physicians into their programs
- Need to reduce rapid rehospitalizations
- Need to improve PR
- Required to accept greater risk from insurers for utilization
- Minority of chronically-ill patients account for majority of their constrained time
|
 | Intuitive marketing weapon |
 | Demonstrable tool to reduce rapid rehospitalizations |
 | Provides clinicians with actionable information to bring patients into their clinics for care |
 | High patient and family caregiver satisfaction |
 | Allows overextended staff to target the right resources to the critical few |
|
| Providers of Episodic Home Care |
- Prospective reimbursement guarantees that unnecessary nurse deployment erodes their margins
- Severe nursing shortage
- Very sensitive to clinical outcomes
- Must compete in crowded market space and would relish increased contracts with hospitals and managed care organizations
|
 | Provides agencies with clinical distinctive competency with which to pursue larger market share |
 | Markedly improves nurse productivity |
 | Demonstratively improves clinical outcomes |
|