Renal Dialysis Programs
Outpatient Dialysis Cost Containment
Reducing risk has never been simpler - or more rewarding
Just one renal dialysis claim could potentially wreak havoc on a plan. Since 2002, Specialty Care Management (SCM) has been providing Renal Re-Pricing Programs to help normalize the cost of dialysis and bring a high claim back under control.
At SCM we pride ourselves on curating solutions that are adaptable to a multitude of plan structures leading to a streamlined implementation every time.
Whether you are a fully self-funded plan or utilize an ASO/BUCA we can work with you to manage your dialysis claims. Helping reduce your risk while protecting the plan, and patient, from further financial responsibility through predictable and quantifiable results.
Exclusive Program Features Such As Advanced Analytics, Real-Time Collaboration And More.
100% success rate on challenges and appeals
Patient advocacy through dedicated renal case management specialists
Start A Conversation Today To Find The Right Fit For Your Plan
Dialysis Protect
Traditional Self Funded Solution
SCM utilizes specialized algorithms to compute reduced, justifiable costs for dialysis treatments. This solution provides proprietary plan language that allows for seamless claims processing without disrupting TPA relationships or member care. This approach delivers significant cost reduction, achieving average savings of 50-70% to protect self-funded plans from high-cost claims.
Dialysis Plus
Administrative Carve out solution for Self-Insured Plans
SCM has partnered with ACS Benefit Services (ACS) to bring you a comprehensive administrative carve-out program fo dialysis claims. Completely alleviating the burden of dialysis claims, Dialysis Plus handles ALL aspects of management—from tailored plan design and member onboarding logistics to appropriate repricing, accurate and timely adjudication, and streamlined handling of the appeals process.
