Savings and Plan Performance: Radiology Site of Care
Did you know that 60% of imaging is performed in higher-cost hospital settings, typically without clinical reason?* Couple that with the fact that more than 80 million CT scans alone are performed each year,** and it’s easy to see the savings opportunity that comes from guiding patients to more affordable, quality sites of care. But the benefits of doing so don’t end there.
Poised and Ready for CMS Prior Authorization Requirements
The Centers for Medicare & Medicaid Services (CMS) recently released its Advancing Interoperability and Improving Prior Authorization Processes final rule. We sat down with Chief Medical Officer Eric Gratias, M.D., to talk about how well prepared EviCore by Evernorth® is for the rule and what it means for patients, providers and payers.
When Laboratory Tests Do More Harm Than Good
Did you know laboratory (lab) tests influence two-thirds of clinical decisions?1 While the right tests enable better diagnoses and treatment, the wrong ones can often do more harm than good.
All Insights
From savings to plan performance, uncover the power of Radiology Site of Care management.
The Centers for Medicare & Medicaid Services (CMS) recently released its Advancing Interoperability and Improving Prior Authorization Processes final rule. We sat down with Chief Medical Officer Eric Gratias, M.D., to talk about how well prepared EviCore by Evernorth® is for the rule and what it means for patients, providers and payers.
Did you know laboratory tests influence two-thirds of clinical decisions? While the right tests enable better diagnoses and treatment, the wrong ones can often do more harm than good.
The fact that 25%–40% of musculoskeletal (MSK) care spending is wasteful or ineffective is concerning enough. But coupled with the knowledge that more than 50% of U.S. adults over 18 live with an MSK condition, the potential impact of low-value MSK care is staggering.
Our solution: An evidence-based care approach to diagnostic care.
See how EviCore helped a 50-year-old patient diagnosed with Barrett’s, avoid an unnecessary surveillance upper GI endoscopy.
Hear from EviCore President David Smith and the medical leadership team about the patient-centric benefits of EviCore’s evidence-based approach.
Alice* is a 50-year-old woman experiencing leg pain from a pinched nerve in her back.
While there are situations when hospital care is necessary, alternative sites like ambulatory surgery centers, freestanding imaging centers, and clinics are often the smarter choice.