Southeast Management Consulting

“We have to move from illness to wellness.  Businesses will have to invest in wellness.  There is no choice.  It’s not philanthropy.  It is enlightened self-interest.”   Shrinivas M. Shanbhag, Medical Adviser, Reliance Industries

In the U. S. alone, people with chronic disease account for more than 75% of the nation’s US $2 trillion in healthcare spending.

Globally, chronic diseases represent 57% of all deaths annually.  The World Health Organization (WHO) predicts that chronic diseases will account for approximately 65% of all deaths annually by 2030.

Productivity losses associated with workers and chronic disease are as much as 400% more than the cost of treating chronic disease.

Chronic disease is the prime cause of lost work time accounting for about 40% of total lost time.

Chronic Diseases are Largely Preventable,…. What Can Employers Do to Address Chronic Disease Prevention?

Understand the health risks of your employee population.  Tailor plan design benefits and wellness programs for your organization based on current healthcare needs.

Create a positive, proactive health environment in your organization.

Encourage usage of clinical preventative services by either covering those benefits in full or with minimal co-payment.

For those already suffering from chronic illness encourage adherence to treatment plans and medications developed by their physicians.

Communicate with employees about preventative services and benefit coverage.

Set measurable goals and objectives for increased individual responsibility for preventative screening and adherence to treatment plans required to achieve better health.

“Wellness and lifestyle improvement programs are rapidly becoming a top priority at many large employers, and with good reason.  Employers are recognizing that there is a direct link between healthy and engaged workers, high productivity, and controlling rising health costs.”  - Helen Darling, President, National Business Group on Health 

Do you understand the health risks of your employee population?

Learn more about NavigatorMD Design 180™ – revolutionary software that accomplishes the above critical tasks, through a single, easy-to-implement, affordable solution.  NavigatorMD Design 180™ is easy to learn / use and requires no additional employee resources or outside consultants.

Call 423-343-5404

Email navigatormd@semgmtconsulting.com for a free demonstration.

Introducing, NavigatorMD Design 180™ software,…the simplest, most comprehensive timely data source and analytical tool available for health plan design and management.

Use the analytical information to design your health plan and wellness program and measure the results/savings.

Chronic Disease Management (approximately 70% of total claims cost)

Indentify chronic conditions unique to your plan (over thirty predefined conditions) – % of population and claims cost

Immediate measurement of compliance with medical standards of care and cost related to compliance

Quickly/easily identify cost of increasing compliance

Preventive Screening / Immunizations

Identify compliance with medically recommended screens (i.e. breast cancer, colon cancer, cholesterol, etc.) based on medical guidelines

Identify immunization compliance

Plan Modeling / Design

Measure the impact of plan design changes on plan cost

      In/Out of Network Deductibles, Coinsurance, Out of Pocket Max

      Supports multi-tiered plans

      Assign specific coinsurance, deductibles, copays, occurrence limits,

      dollar limits to specific procedures / benefits

Cost Tracking / Data Analysis

Standard monthly predefined reports – plan summary, top ten procedures, top ten diagnoses, top ten providers etc.

Ad hoc analysis and reporting – drilldown capability and exportable to standard PC software

How it Works

NavigatorMD software is installed on a plan sponsors PC.  Your third party administrator (TPA) transmits raw claims data to NavigatorMD headquarters.  NavigatorMD maps your plans data, through its unique data transformation technology, to an encrypted database.  The information is fully HIPAA compliant and data display is controlled by software keys.  Historical claims data may be loaded at startup allowing immediate access to your plans baseline data.

When new data is available for your plan (at least monthly) with two clicks of your mouse you are downloading the data from NavigatorMD’s servers to your PC over the internet.  

If you can use an Excel spreadsheet you will have no problem using NavigatorMD

Phone:   423-343-5404   

email: navigatormd@semgmtconsulting.com for a demonstration.