News | December 06, 2011

Care to Care Earns Preferred Vendor Designation

December 6, 2011 — Care to Care, a URAC-accredited radiology benefit management (RBM) company, was recently designated as a Preferred Vendor by the Association of Community Affiliated Plans (ACAP).

The ACAP Preferred Vendor program provides streamlined access to pre-qualified vendors in areas of interest specific to ACAP plans and their membership. Each vendor must be sponsored and approved by a member plan in ACAP’s network; they must also understand the unique needs of the patient populations in Medicaid, Medicare and SCHIP programs served by network members. Care to Care’s induction as a Preferred Vendor was sponsored by ACAP member Elderplan. 

Diagnostic imaging is one of the fastest growing components of healthcare costs; it has developed so rapidly that physicians have not yet integrated the strengths of new exams into their practices or accounted for their limitations. Tests are frequently ordered without a firm knowledge of what they can contribute to diagnostic certainty. 

Care to Care’s RBM programs reduce wasteful medical imaging by assuring that tests ordered are appropriate for the clinical condition and will provide useful information to the patient.

“ACAP is pleased to welcome Care to Care to our Preferred Vendor program,” said Margaret A. Murray, ACAP chief executive officer.  “This program and the Vendor Education Series – an opportunity for our members to learn from Preferred Vendors about topics of interest – have proven to be of great value to ACAP member plans.”

“We sponsored Care to Care after we saw the value in cost savings and patient safety that their solutions brought to the table,” said Hany Abdelaal, DO, Elderplan’s chief medical officer.  “Previously, radiology was a very high cost, unmanaged benefit. Working with Care to Care helped Elderplan target the monitoring and management of what had become a hidden cost center. As a result, Care to Care’s impact on Elderplan’s spending on high-tech radiology utilization was significant.”

“First, we want to offer our thanks to Elderplan for its generous support in introducing and sponsoring us for the ACAP Preferred Vendor program,” said Barbara Kelman, chief operating officer of Care to Care.  “We are very appreciative of the opportunity to work with ACAP plans and to address what have become tremendously important issues.” 

“Although most payer types can benefit from Care to Care’s programs,” Kelman continued, “our greatest value is realized by Medicare Advantage plans, which serve populations with heavy utilization of high-tech imaging and high risk of inappropriate or unnecessary tests. These plans must solve a challenging regulatory calculus mandating that quality services be delivered cost-effectively.  The increased payments they receive through risk adjustment must balance the MLR equation while optimizing five star ratings. The Medicare Advantage plans we serve have found our programs to be of great value in this regard.”

For more information: www.caretocare.com

Related Content

Nuance Launches Cloud-Based mPower Clinical Analytics Platform at AHRA 2018
Technology | Analytics Software | August 16, 2018
At the Association for Medical Imaging Management (AHRA) 2018 Annual Meeting and Exposition, July 22-25 in Orlando, Fla...
Intel and Philips Demonstrate CPU Ability in Deep Learning Inference Test Cases
News | Artificial Intelligence | August 15, 2018
Intel and Philips recently tested two healthcare uses for deep learning inference models using Intel Xeon Scalable...
Guerbet Partners With Imalogix on Dose Optimization With Artificial Intelligence
News | Radiation Dose Management | August 14, 2018
August 14, 2018 — Guerbet LLC USA announced a commercial partnership with Imalogix, a provider of...
ACR LI-RADS Steering Committee Releases New Version of CT/MRI LI-RADS
News | Clinical Decision Support | August 13, 2018
August 13, 2018 — The American College of Radiology Liver Imaging Reporting and Data System (LI-RADS) steering commit
Visage Signs Mercy for Visage 7 Open Archive
News | Enterprise Imaging | August 09, 2018
Visage Imaging Inc. announced that it has signed a seven-year contract with Mercy, the fifth largest Catholic health...
Videos | Radiomics | August 09, 2018
A discussion with Martin Vallieres, Ph.D., post-doctoral fellow at McGill University, Montreal, Canada.
Aidoc Receives FDA Clearance for AI Detection of Acute Intracranial Hemorrhage
Technology | Clinical Decision Support | August 08, 2018
Aidoc announced that it was granted U.S. Food and Drug Administration (FDA) clearance for the first product of its...
Metro Health-University of Michigan Health Partners With Eon to Improve Lung Cancer Care
News | Oncology Diagnostics | August 07, 2018
Metro Health-University of Michigan Health announced it is partnering with healthcare data company Eon to improve the...
Artificial Intelligence in Medical Imaging to Top $2 Billion by 2023
News | Artificial Intelligence | August 06, 2018
The world market for machine learning in medical imaging is set for a period of robust growth and is forecast to top $2...
Imalogix Brings Fluoroscopy Capabilities to Radiation Dose Management Platform
Technology | Radiographic Fluoroscopy (RF) | August 06, 2018
Imalogix, a provider of artificial intelligence (AI) process and workflow solutions, announced the availability of the...
Overlay Init