High-cost members increase the average PMPM cost for Commercial Payer Plans, which results in shrinking benefits and increased costs on premiums. Vulnerable members, on the other hand, struggle with the intricate and time-consuming enrollment process. Rethinking care management to include disability education and enrollment assistance can entirely change the current equation, while benefitting payers and members alike.

Our dedicated SSDI unit combines a Social Security Administration rules-based engine with a team of talented advocates and qualified specialists to achieve optimal SSDI conversion rates. With disability experts seamlessly integrated into existing payer-driven care management programs, we educate and help disabled members reach financial security.

• Experienced SSDI Resources
  Skilled disability advocates who ensure a win-win outcome for payers and members by utilizing an algorithm-driven outreach model to educate, empower and assist eligible members.
• Intelligent Identification-Screening 
  Leverage a social security administration rules-based approach, which drives the identification process and can help our team predict eligibility.
• Improved Member Satisfaction Rates
  Members benefit from financial assistance and employers can lower premiums for fully insured employees.
• A Path to Medicare
  Members receiving SSDI will be entitled to Medicare two years after their entitlement date or could be immediately eligible if diagnosed with a qualifying condition. It is not uncommon to secure retroactive SSDI benefits that allow for the window to Medicare enrollment to be cut in half.
• Advanced Reporting Capabilities
  Real-time data is reported monthly, providing maximum visibility into member interactions.