ABACUS HEALTH SOLUTIONS – Meet A Vendor

Shortlister hosted Dr. David K. Ahern, Abacus Health Co-Founder and Senior Scientist, to review Abacus’ chronic condition management program that keeps members engaged with the healthcare system and can mitigate the risk of future high-cost hospitalizations/claims.

THE EFFECT OF COVID-19 PANDEMIC ON EMPLOYER HEALTHCARE COSTS

Covid-19 has highlighted the limitations in the traditional approach to delivery of healthcare services and the structural inequities in health care. This created the need for increasing innovative ways for plan members to complete chronic condition care standards during a pandemic, and the data just confirms that.

DIABETES CARE REWARDS PROGRAM OVERVIEW

Abacus’s diabetes care rewards program is a patented behavioral science model that engages members with diabetes in preventative care. It supports team members and covered dependents with:

1. TARGET BEHAVIORS

Provider Engagement is proven to reduce hospitalization and to close the care gaps.

Telehealth Support is part of the Diabetes Health Action Plan® that includes a personal approach that focuses on Care Coordination and supports other complicating conditions.

2. BEHAVIOR-CONTINGENT INCENTIVES

Members receive a zero-co-payment waiver on anti-diabetic medications and supplies and it procures savings of more than a hundred dollars per month.

As an addition Abacus program also includes:

Remote monitoring and control that provides actionable data based on the clinical need of each patient and allows advanced patient engagement and pattern analysis.
A personalized messaging platform that gets information from both biometrics and screenings and exams, Diabetes Health Action Plan, and claims data to support the identification of risk profiles for members.
Artificial Intelligence (AI) & Machine Learning to identify which members are most likely to participate, need monitoring and guide personalized health interventions, and identify future risk to avoid hospitalizations.

FORTUNE 500 COMPANY CASE EXAMPLE

Abacus has been working with a Fortune 500 company for the last three years. Their case example represents a care coordination approach between Abacus, the administrative health plans, and the onsite clinic to engage members in quality care using the latest in telehealth services and coordinated care solutions.

FORTUNE 500 COMPANY CASE EXAMPLE

A controlled study of the Diabetes Care Rewards program demonstrated the following results:

19% greater likelihood of a physician visit over a 12-month follow-up
38% lower all-cause hospital admissions
34% fewer hospital days
20% decrease in members with HbA1c > 9 and 30% Increase in Rx adherence
21% lower medical trend

Despite all the uncertainty we faced, the pandemic highlighted the critical importance of ongoing management of chronic illness, brought advancement in the utilization of telehealth and telemedicine and care delivery, and increased attention and efforts to address disparities in health care.

Abacus Health Solutions is effectively aligning the latest health and wellbeing strategies to optimize plan performance with proven ways to change long-term health care cost trends.

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Public vs. Private: How Shortlister Gets Paid

	Shortlister App Subscription/Login Required	Shortlister Public Site myshortlister.com
Who can Access Shortlister?	Versions of the Shortlister app are available for employers and benefits consultants to access detailed information on service providers and issue RFPs.	Anyone can access the basic vendor data listed on the Shortlister public site, free of charge.
Do employer & consultant users pay to access Shortlister?	Yes – There is a monthly subscription fee	No – Shortlister's public site has tens of thousands of visitors per month that are researching vendors. They do not pay to access this basic vendor data.
Do service providers pay to be listed?	No – Service providers can enroll on the Shortlister app for free.	No – Service Providers do not pay to be listed on the Shortlister public site.
Can service providers pay to improve their position?	No – The Shortlister app's matching algorithm is completely neutral & unbiased. It matches employer & consultant users with service providers based on how closely the buyers requirements match the service provider's capabilities.	Yes – ONLY on Shortlister's public site. Service providers can bid to show up higher on listing pages. This is how Shortlister is compensated for the substantial effort it takes to curate this pages and vet vendor data.
What if a service provider doesn't pay Shortlister?	Nothing – Service providers don't pay a fee to participate on the Shortlister app and are matched based on how well their capabilities align with a buyer's demographics and needs.	Service providers will still be listed on the pages for the services they provide, they will just be listed below those that have bid to list higher on that particular product page.
What about the Top Vendor lists at the top of the product listing pages? Is there a fee to be listed?	Not Applicable – The Shortlister app doesn't display Top Vendor lists because the algorithm generates a custom list based on the customer's needs.	Yes - There is a nominal fee of $50 per quarter that's charged if a service provider is approved for a Top Vendor list. Shortlister evaluates vendor capabilities & market performance data to determine who should be listed. Evaluating this data takes considerable time and effort, so the nominal $50 fee covers the cost of the work it takes to curate these lists. If a vendor applies for a Top Vendor list but doesn’t meet the criteria, they are not charged a fee.
Who provides reviews of service providers?	Reviews on Shortlister's app are collected from employers and consultants. Service providers are also able to collect reviews from their customers, once they are validated by Shortlister. When a user is logged into the Shortlister app, they can clearly see the source of the review.	Public site reviews are an aggregation of employer, consultant and provider-collected reviews. There is no way for public site visitors to differentiate the source of the review.
Do service providers see information and reviews put in the site by your users?	Service providers cannot see the information put in by Shortlister's consultant and employer users.	Service providers can see information that was collected from their own clients.