Home Sleep Solutions: Reduce Costs for Health Plans

The Challenge

Approximately 70 million Americans suffer from sleep disorders, of which Obstructive Sleep Apnea (OSA) is the most common¹. Those with unmanaged Sleep Apnea are six times more likely to miss a full day of work and three times more likely to have an auto accident or work injury². They incur incremental annual healthcare costs due to increased risk of high blood pressure, increased risk of heart disease, increased risk of diabetes & obesity, and double the risk of stroke.

Even with significant cost to plans, diagnostic testing is primarily done in high-cost settings such as inpatient facilities and sleep centers.

Over 80% of people with OSA go undiagnosed³

70-80% of sleep tests are conducted in high-cost sleep facilities⁴

Fewer than 50% of patients adhere to their prescribed sleep therapy⁵

The CareCentrix Approach

CareCentrix has unparalleled experience managing sleep benefits on behalf of health plans. We accomplish results by:

Managing 50,000 new patients a year on sleep therapies
Providing comprehensive management from diagnosis through therapy management, redirecting sleep tests to the home when clinically appropriate
Facilitating patient remote monitoring and delivering a patient engagement program that integrates monitoring with advanced alerts and patient behavioral counseling to increase therapy adherence

Cost savings
- Near immediate savings of up to 30-40% and average annual PMPM savings of $1.10
Convenience
- Up to 85% of sleep tests are performed in the home, providing a more representative evaluation of a patient’s sleep and a more comfortable environment

Adherence to therapy
- Patient therapy adherence rates over 80%
Improved outcomes
- By minimizing the health risks from unmanaged sleep conditions

Case Study
Home Sleep Case Study

An employer group enlisted CareCentrix to address its growing concerns with sleep disorders. CareCentrix was able to bring high quality services to the home, lowering costs while improving clinical outcomes and patient satisfaction.

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Sources:

http://www.cdc.gov/sleep/about_us.html
McKinsey and Harvard Medical School
American Sleep Apnea Association
Needham & Company Survey of US Sleep Centers 2014: http://www.sleepreviewmag.com/2014/02/15-osa-testing-done-hsts-growing/
Berry, et al. SLEEP, Vol. 31, No. 10, 2008, 6 -10) Internal CareCentrix Data of Underwriting for Potential Clients

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Home Sleep

The Challenge

The CareCentrix Approach

Benefits

Cost savings

Convenience

Adherence to therapy

Improved outcomes

Featured Resources

Home Sleep Case Study

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