AIMM's Pilot Project Case Study Released

For a long time self-funded health plans and their consultants have been FIXATED on the concepts of "deepest PPO discount" and "lowest admin fees".  When AIMM was founded just over 5 years ago the core idea was "improved health care quality will lead to decreased health plan costs" coupled with "1 RN working with 1 patient on behalf of 1 client throughout the entire continuum of care".  Over the past 5 years several case studies have been provided to show exactly how wonderfully true that concept is.  However, the objection of "deepest discount" kept rearing it's ugly head.  Nobody seemed to be "getting it" that these discounts were happening absent of good medical management, and that Admits/1000, ALOS, Catastrophic Case Management, Patient Advocacy, and Patient Education simply were NOT happening within the framework of the models that were based on deepest PPO discount.  Quite honestly, I became so frustrated with trying to get people to believe that "50% off 10 days is still more expensive than 20% of 3 days" that I simply HAD to find a way to test out and either prove or disprove the merit of out P3CM(R) medical management when stacked up against the world's strongest PPO discounts.  Since the carrier with the deepest discount (come on, you all know who we're talking about here - let's just say that they don't like the rainbow - they've singled out one particular color as their favorite! ) refused to allow medical management to be carved out, I had to find another way to analyze whether TRUE medical management via P3CM(R) could perform better, equal, or worse than a really deep PPO discount.  Fortunately, a particularly savvy broker  partner in Atlanta Georgia - Tony Cannata from CHAdvisors - had already been looking at the same issue and asking the same questions about medical management (or the lack thereof) in the deepest discount model.  He had two small self-funded health plans that were eager to try something new.  They wanted medical management as much for the BENEFIT of having an RN work with their population as for the potential cost reduction.  They decided to leave their carrier, give up the enormously deep PPO discounts, mirror their existing plan, but move their services to a TPA, a national PPO (with "average" discounts") and to engage AIMM.  Well, after a year of services and data collection, the results are ready.  Guess what?  YOU CAN GIVE UP THE DEEPEST PPO DISCOUNTS IN THE WORLD, USE BETTER MEDICAL MANAGEMENT, AND NOT ONLY BREAK EVEN, BUT SAVE A LOT OF CLAIMS DOLLARS!!!  The case study for one of the groups is hot off the presses, and the other case study is nearing finalization. 

To obtain a copy please contact us to and one will be provided to you electronically.