The Challenge

Diagnose and proactively manage sleep disordered breathing at home

Sleep is crucial to health and productivity. Approximately 70 million Americans suffer from sleep disorders1. 80% of moderate and severe Obstructive Sleep Apnea (OSA), the most common sleep disorder, goes undiagnosed.2 In addition to $150 billion of lost productivity and increased workplace incidences3,  the cost of untreated sleep apnea also increases the risk of costly health complications such as hypertension, heart disease, diabetes and depression – 65% of those diagnosed with OSA have multiple comorbidities.4 Diagnosis can require high-cost sleep facilities, and even once diagnosed, fewer than 50% of members adhere to their sleep therapy5. With current supply chain challenges, ensuring member access to equipment is more challenging than ever.

Improve member adherence to therapy with our Sleep Management program.

A comprehensive sleep therapy and respiratory management program benefits health plans by:

  • Optimizing sleep tests to the home when clinically appropriate
  • Increasing therapy adherence with usage and efficacy data monitoring and proactive member engagement
  • Validating that members are properly utilizing supplies to maximize adherence
  • Ensuring timely testing and access to therapy

Program Results

Up to 0 Annual Savings6
0 Sleep Diagnostic Testing Completed in the Home6
0 Therapy Adherence Rate6
0 Member Satisfaction 6

Our Approach

As the first sleep benefits manager in the industry, CareCentrix empowers the home with a whole person “diagnosis-to-therapy” approach that addresses four key issues impacting sleep therapy today — care setting, member adherence, proper supply utilization, and network management.

When appropriate, CareCentrix facilitates at-home sleep testing, closely managing members to follow-through, which greatly improves test completion rates,  turnaround times and access to therapy.

Our data-driven sleep management adherence program, iComply, has a team of respiratory therapists and sleep medicine physicians to monitor proper adherence and utilization. We apply real-time data from the member’s PAP device to validate usage and efficacy to advance treatment by collaborating with providers to improve therapy success.

The CareCentrix Value

CareCentrix collaboratively works with ordering and rendering providers, payors and members to ensure a high level of support throughout treatment, resulting in a 30% improvement in therapy adherence.6

  • Coordinate the member journey from home-based diagnosis through sleep therapy management
  • Optimize sleep test site of service
  • Facilitate remote monitoring to ensure clinical success
  • Increase therapy adherence through an integrated technology-driven member engagement program
  • Ensure members receive their sleep diagnostic testing and therapy in a timely fashion and validate that the services are in place

Strategies That Work. Savings You Can Count On.

Sources:
1. CDC. Sleep and Sleep Disorders   2. Frost & Sullivan. Hidden Health Crisis Costing America Billions. 2016   3. Testelmans, D., Spruit, M.A., Vrijsen, B., et al. “Comorbidity Clusters in Patients with Moderate-to-Severe OSA.” Sleep and Breathing, vol. 26, 2022.   4. McKinsey and Harvard Medical School  5. Chen, Hsin-Hsiao, et al. “Improving CPAP Adherence in Adults With Obstructive Sleep Apnea.” Frontiers in Psychology, 2021.  6. 2024 CareCentrix book of business performance data. Actual results will vary depending on program.