© 2019 PRIVATE HEALTH MANAGEMENT

Private Health Management® 

Healthcare Navigation Services for Employers

Protect your employees while preserving your bottom line

Healthcare quality improvement

AND

cost containment

We focus on your people's health 

so they can focus on your business

The Private Health Management Difference

A fresh perspective on employer healthcare quality improvement and cost containment 

 

We specialize in expert management of the most challenging and expensive cases that account for most of the costs and quality problems in employed populations. We offer a comprehensive suite of healthcare navigation services that include priority access to the world’s top physicians and customized support from highly-trained clinicians.​

Companies retain us to complement and maximize health insurance for most employees and dependents and pay a per employee/per month fee.

QUALITY AND COST SOLUTION

TAILORED SUPPORT

PROVEN

RESULTS

Clinical support and empowerment services that improve quality of care,

contain unnecessary costs

and reduce anxiety and frustration

  • Clinicians available 24|7

  • Access to top physicians

  • Customized health research 

  • Global support for all issues 

  • The best preventative, diagnostic, therapeutic and emergency care 

  • Unnecessary costs contained

  • One of the most valued health benefits

Enterprise Health Service Elements

24|7 Tele-Health &

Urgent Intervention

On-call staff clinicians provide 24|7 tele-health, triage and care coordination in the event of an urgent medical situation

Personal Care Team

A clinical care manager, clinical coordinator and researcher serve as consistent points of contact 24|7 to ensure clinical excellence and provide logistical support

Comprehensive coordination of all health care needs by clinician-led care team for serious medical conditions. Learn more.

 

Physician Referrals

Identification of the best physicians and other care providers

 

Custom Research Reports

Customized, objective research reports about a specific disease or treatment. Prepared by our research team of MDs and PhDs

Clinical Intake

Clinician interviews beneficiary to direct the beneficiary to the appropriate experts. For example, a client asks for ENT referral, but our clinician determines that they really need to see an allergist

Logistics

An assigned clinical case manager (i.e. Physician Assistant or Nurse Practitioner) serves as a consistent point of contact

Global Resources

Global Safety Net of leading physicians and hospitals in more than 180 countries. Coordination of emergency care and emergency medical evacuations. Learn more.

Enterprise Health Service Benefits

Improve employee health

Recruitment assistance 

Support employee retention 

Reduce unnecessary healthcare costs

Strengthen corporate culture

Increase employee

productivity

How We Can Save You Money

  We have the greatest impact on costs when we intensively engage on the toughest cases. Here are some key actions we take to save you money and obtain better care:

Ensure proper diagnosis

Prevent unnecessary testing

Obtain superior outcomes​

Engage the right experts

Prevent sub-optimal treatment

Implementation

Why Is Healthcare So Expensive?

Costs are highly concentrated in a relatively small number of cases and conditions

CONDITIONS

 

CASES AND COSTS

 

CASES

COSTS

10%

5%

1%

65%

50%

25%

  • The top 1% of cases account for 25% of costs

  • The top 5% of cases account for 50% of costs

  • The top 10% of cases account for 65% of costs

  • The top 10 conditions account for 52% of costs

Trauma-related disorders

Heart conditions

Mental disorders

Cancer

Osteoarthritis

COPD, asthma

Diabetes melitus

Hypertension

52%

Normal birth/live born

Back problems

Other Private Health Management® Services

Our Intensive Case Management Service is designed for individuals with serious medical needs

Our Membership Program is designed for individuals and families who are generally well