Out-of-Network Open Lung Cancer Case
From Out-of-Network to Outstanding Savings
With SCM facilitating the change to oral chemo, the group was able to avoid extraneous pharmacy and administration charges, yielding savings for these costs alone of $10,640— or $532 per day.
Additionally, SCM created savings in multiple areas through various strategic initiatives:
- Direction to in-network facilities for appointments and treatments – $1,000
- Self-administration of medication – $500
- Avoidance of hospitalization due to oral chemotherapy treatment – $5,400
Overall, SCM enabled the group to experience significant savings of 32% off billed charges—totaling $17,540 — while the patient benefited from increased quality of life.