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Services
What Makes Illumination Medical Different Than Other Consultants?
Illumination utilizes a methodology that includes technology with high touch. Our proactive approach and unrelenting follow-up assist us in achieving our goals. Once our clinical team identifies members at risk we review all plan assets available and then go the next step of contacting each of those members through nurse triage.
Nurse Triage performs three specific actions:
- Confirms that our assumptions about their medical situation are correct.
- Establishes the present medical situation of the individual.
- Provides referral of the participant back into plan assets with may include their attending physician(s), large case managers, consulting pharmacists, employee assistance programs, or any disease or wellness programs that the health plan has purchased or endorsed.
But it doesn’t end there...
The Illumination Medical consultants continue to follow each of these individual members every quarter and make sure that changes are being made, if change does not occur, the participant is again contacted by the nurse triage team for further work-up and referral.
How Do You Track Success?
Illumination Medical tracks the value of each intervention based upon the published peer reviewed literature to estimate the influenceable cost that will be impacted by our intervention. Illumination consultants also track the targeted individuals quarter by quarter to validate savings through paid claims information and reports findings quarterly to our clients.
Who Really Benefits From Illumination Medical Consulting Services?
Everyone…the value of our consulting services extends to three specific groups:
- Employers/Payers
- Participants/Members
- Administrators and Benefit Consultants
Employers benefit through increase understanding of identified clinical risk and consistent monitoring. This offers Employers the opportunity to:
- build and endorse benefit structures that meet the individual risks within its health care program
- accurately anticipate ongoing risk
- actively measure any reduction or increase in clinical risk
- optimize the plan assets that have been purchased
By encouraging standard quality of care norms, the Employer focuses financial resources on quality care for its membership.
The Member benefits through the coordination of a nurse advocate. Increasing knowledge of both the disease they have and understanding the resources that are available through the benefit plan allows the member to make better choices and become a greater participant in their own health care. With higher levels of targeted services being provided, the high risk member will experience improved health and lower medical expense.
The Administrator and Benefit Consultant gains increased knowledge and an ability to make informed recommendations related to new medical methodology, technology, programs, and products.
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