Specialty Care Management (SCM) Takes Taft Hartley Savings to New Heights
A Taft Hartley Fund sought help from SCM for management of its dialysis claims. Although the fund was utilizing a 20% PPO discount on its claims, it was still incurring significant dialysis costs from managing up to five patients monthly. As a first step, the SCM legal team, at no additional cost to the fund, reviewed the fund’s Summary Plan Description and identified specific plan language to revise as part of a plan amendment. After approval, SCM collaborated with the fund to implement the amendment, working with the patients to maintain quality dialysis care. Members were able to remain at their existing dialysis facilities and no additional out-of-pocket costs were incurred due to SCM’s provider contracts.
Specialty CM was able to save the fund over $3.7 million off provider billed charges without members experiencing any disruption in quality of care.