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ConsumerMedical Enters into Agreement with CoreTrust for Medical Decision Support Services

PEMBROKE, MA (March 14, 2017) – ConsumerMedical, a health care decision support and concierge company, announced that it has signed an agreement with CoreTrust, a group purchasing organization for large corporations and private equity firms, to support the employee health care needs of CoreTrust’s member companies.

ConsumerMedical serves as a Medical Ally to member organizations, helping their employees make better-informed medical decisions and find quality health care, including physicians and hospitals. The company uses its Five Drivers of Quality™ model to help patients make informed decisions and receive evidence-based care and longitudinal support for their entire health care journey.

“We’re happy to bring our clinical expertise to this collective of organizations in order to help employees of CoreTrust and HealthTrust member companies make informed decisions and receive quality health care,” says Kevin Kickhaefer, Chief Revenue Officer for ConsumerMedical.

By helping employees make better-informed decisions and receive their care from quality providers, ConsumerMedical helps companies manage their spend on health care services. In addition, employees may enjoy better health outcomes and feel more confident in their health care decisions.

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About ConsumerMedical – ConsumerMedical is a leading health care decision support and concierge company serving approximately 2 million individuals through some of the nation’s largest employers, health plans and private exchanges. As a Medical Ally, ConsumerMedical guides participants throughout their health care journey with compassionate, high-touch support and deep clinical expertise. ConsumerMedical offers a fully integrated suite of solutions including Medical Decision Support, Expert Medical Opinions, Claims Advocacy and more, helping individuals and families navigate the health care system while reducing unnecessary elective surgeries and driving patients to the highest quality providers. More information is available at www.consumermedical.com.

About CoreTrust – CoreTrust (www.coretrustpg.com) serves an exclusive membership of select private equity firms and Fortune 1000 companies. A division of HealthTrust—the healthcare industry’s leading group purchasing organization—CoreTrust leverages its purchasing volume along with that of HealthTrust members to achieve market-leading pricing for a portfolio of contracts in more than 100 indirect spend categories including human resources employee benefits. This unique and highly compliant business model affords most members double-digit savings across all categories.

ConsumerMedical Announces Partnership with MD Insider to Enhance Identification of Top Physicians

PEMBROKE, MA (January 10, 2017) — ConsumerMedical, a leading health care decision support and concierge company, announced today a strategic partnership with MD Insider, a leading health care data and technology company, that will enhance their ability to recommend the highest quality physicians in the country to individuals.

ConsumerMedical serves as a trusted Medical Ally to employees and health plan members, helping them make better-informed medical decisions and finding the best care, including physicians and hospitals. A key feature is the company’s longstanding ability to identify and match the highest quality providers to individuals, using a combination of data and real-time, personalized research based on the patient’s needs and preferences. With MD Insider’s ability to analyze over 4 billion clinical data records, ConsumerMedical will be able to further identify and recommend the very best physicians in the country from among a pool of 850,000 practicing doctors and 6,000 hospitals. Moreover, using MD Insider data, ConsumerMedical will be able to assess physician quality not just at the specialty level but at the procedure level—the most cutting edge quality assessment currently available. The partnership will also enhance ConsumerMedical’s ability to recommend physicians to patients based on features like availability, location, hospital affiliation, and insurance.

“This is a very exciting partnership,” says Sue Lewis, Chief Product and Strategy Officer for ConsumerMedical. “It is the powerful blend of sophisticated data and analytics, and technology with personalized, high-touch support and coaching. When the member calls in, our support specialist can serve as a trusted guide, while matching the participant’s needs using the most current, data-driven review of physicians’ performance in the country.“

MD Insider’s proprietary algorithm looks at data points such as procedure volume, readmission rates, and complication rates to develop a total picture of physician quality. If the employer or health plan uses a Centers of Excellence or High Performance Network strategy, ConsumerMedical can also recommend physicians practicing within those quality strategies.

“We’re excited our data and algorithms will be able to help ConsumerMedical’s 2 million members get better care,” says David Norris, CEO of MD Insider.

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About ConsumerMedical ConsumerMedical is a leading health care decision support and concierge company serving approximately 2 million individuals through some of the nation’s largest employers, health plans and private exchanges. As a Medical Ally, ConsumerMedical guides participants throughout their health care journey with compassionate, high-touch support and deep clinical expertise. ConsumerMedical offers a fully integrated suite of solutions including Medical Decision Support, Expert Medical Opinions, Claims Advocacy and more, helping individuals and families navigate the health care system while reducing unnecessary elective surgeries and driving patients to the highest quality providers.

About MDInsider MD Insider is an innovative healthcare technology company that uses big data to provide a Physician Performance Transparency solution, which is fully integrated into a consumer-friendly physician search, match, and scheduling solution that better matches patients with the right doctors.

ConsumerMedical Announces New Health Analytics Partnership to Improve Member Engagement, Care Quality, and Affordability

PEMBROKE, MA, October 26, 2016 — ConsumerMedical, a leading health care decision support and concierge company, announced today strategic partnerships with both Verscend Technologies and Santa Barbara Actuaries Inc. These partnerships will markedly build upon and expand the company’s data analytics capabilities, enhancing its ability to engage members to improve the quality and affordability of their health care. The result will be better health outcomes for members and lower health care spending for employers, plans, ACOs, and other customers of ConsumerMedical.

Verscend (formerly Verisk Health) is a leader in data-driven health care solutions that helps health care organizations like ConsumerMedical perform the clinical, financial, and operational reporting and analysis needed for effective quality and cost management. Santa Barbara Actuaries Inc. is an actuarial and health care consulting firm specializing in cutting-edge predictive modeling and analytics.

The new partnerships will give ConsumerMedical enhanced capabilities including: predictive analytics; cohort analysis allowing for targeted member outreach and engagement; integration of disparate data sources, including medical, pharmacy, financial, disability, network, and expanded clinical, into a single system; and financial ROI reporting capabilities across a broad spectrum of health concierge services.

“Our clients are facing increasing pressure to manage the trajectory of their health care spend while offering competitive benefits and value-added programs,” says David Hines, CEO and founder of ConsumerMedical. “This is a groundbreaking collaboration. Reaching the members who need to make a significant medical decision means we can empower them, improve their health, and also reduce costs for our customers.”

Based on numerous predictive models being developed in collaboration with Santa Barbara Actuaries Inc., ConsumerMedical will enhance its early identification and engagement of members who are in need of medical decision support—those with provider quality gaps and high savings opportunities. This is an opportunity to dramatically raise ROI for ConsumerMedical’s customers.

“At the end of the day, this means we can make sure members get the right clinical care from the best providers that is also consistent with their values and preferences,” says Ian Duncan, President of Santa Barbara Actuaries and Adjunct Professor of Actuarial Statistics at the University of California Santa Barbara.

Verscend’s industry leading data warehousing, online clinical and financial analytics, and comprehensive reporting platform will help Santa Barbara Actuaries Inc. and ConsumerMedical utilize multiple sets of data to improve engagement, support employee decisions, and perform ROI reporting for customers, among other improvements.

About ConsumerMedical
ConsumerMedical is a leading health care decision support and concierge company serving approximately 2 million individuals through some of the nation’s largest employers, health plans and private exchanges. As a Medical Ally, ConsumerMedical guides participants throughout their health care journey with compassionate, high-touch support and deep clinical expertise. ConsumerMedical offers a fully integrated suite of solutions including Medical Decision Support, Expert Medical Opinions, Claims Advocacy and more, helping individuals and families navigate the health care system while reducing unnecessary elective surgeries and driving patients to the highest quality providers.

About Santa Barbara Actuaries
Santa Barbara Actuaries is a health care consulting firm that assists its clients in identifying high risk individuals, assessing the impact of medical intervention programs, and optimizing the use of data analytics to drive improved outcomes.

 About Verscend Technologies, Inc.
Verscend Technologies (formerly Verisk Health) drives better healthcare outcomes through data analytics. Our payment accuracy, revenue integrity, risk assessment and stratification, and quality improvement solutions help organizations utilize their data so they can efficiently and cost-effectively succeed in the new era of healthcare. Learn more at www.verscend.com.
Media Contact:
Brenna Dobbins
BrennaD@CommCreative.com
508-861-2832

ConsumerMedical Announces Kyle Bray as New Chief Operating Officer

PEMBROKE, Mass. (September 29, 2016) – ConsumerMedical has announced Kyle Bray as the organization’s new Chief Operating Officer. Bray will be responsible for creating functional alignment among the ConsumerMedical team and establishing priorities to meet market demands. He will have sole oversight for ConsumerMedical’s operations and call center, research, technology, and finance.

“We are very pleased to have Kyle join our team,” says David Hines, CEO and founder of ConsumerMedical. “His experience, leadership, and understanding of health care will help ConsumerMedical as we continue to grow and expand our business.”

“I am humbled to be joining the wonderful team at ConsumerMedical,” says Bray.  “As a pioneer in the industry, ConsumerMedical has been helping people for over 20 years better navigate the healthcare landscape.  I look forward to building upon our current unique value proposition aimed at coupling empathy with technology to continue to help those we serve when they need it most.”

Prior to joining ConsumerMedical, Bray served as Chief Operating Officer of MEP Health (acquired by USACS, Inc.), an innovator in outpatient and emergency care serving over half a million patients annually, where his primary responsibility was leading internal operations including managing and overseeing the implementation, talent acquisition, service delivery, performance, and reporting of all operational execution of the company’s service offerings. Prior to joining MEP Health, Bray served as Vice President of Medical Record Review Operations for Inovalon, a now publicly-traded healthcare technology company that combines advanced data analytics with targeted interventions to achieve meaningful impact in clinical outcomes and financial performance across the healthcare landscape.

Bray holds a healthcare concentrated master of business administration degree from Yale University.  He earned his B.A. degree in strategic leadership, management, and marketing from Ohio University. He is an avid athlete, competing in ultra-endurance running, swimming, and triathlon events, and as an Eagle Scout enjoys mentoring youth about leadership and appreciating the outdoors.

About ConsumerMedical
ConsumerMedical™ is a pioneer in treatment decision support programs, offering trusted clinical expertise, personalized research, expert opinion, physician quality identification and concierge health support to empower individuals to make educated decisions about their health and healthcare. The company’s guided patient support services help consumers answer the five most important questions in healthcare: What do I have? What do I need? Where do I go? What does it cost? and How do I cope? For 20 years, the company has provided employees and their dependents with the personalized information and support they need to navigate the healthcare system and become more confident healthcare consumers. To learn more, visit www.consumermedical.com/.

New survey reveals 80 percent of employees research medical decisions while at work; half make decisions without the right information

Survey points to shortcomings in the current system that impact employee productivity and costs

PEMBROKE, MA — A new survey of American workers employed at mid and large size companies reveals many believe they don’t have the information they need to make an informed medical decision, and the vast majority spend at least part of their work days trying to get the health information they need.

The independent research, conducted by Lab42, was based on a survey of 1,000 employees at companies across the U.S. with 500 to 10,000+ employees.

Seventy-two percent of those surveyed reported they had spent time researching a health issue and medical decision for themselves or a family member during the last year, and the average employee spent six hours of their workday on this research.

“This survey confirms what we have long suspected,” explains David Hines, CEO of Consumer Medical who funded the survey, “that consumers want, but don’t have, the information they need to make healthcare decisions – especially when it comes to big decisions like cancer treatment or surgery. Moreover, doing the leg work to find answers interferes with their ability to be productive employees.”

The survey also found that one in five people don’t trust the information provided by their doctor, and 42 percent believe they’ve lacked the essential information they needed to make a medical decision in the past.

“It is disheartening but not surprising,” says Cristie Upshaw Travis, CEO, Memphis Business Group on Health, of the findings. “Health benefits exist because employers want to keep workforces healthy, but at the same time, employees themselves clearly struggle to understand what care they need and how to make informed decisions.”

The survey also queried employees about their concerns regarding healthcare costs.

“Today’s health plan designs put employees squarely in the driver’s seat, requiring them to be incredibly savvy consumers of healthcare,” explains Hines. “Yet at the same time, this survey points to the fact that many consumers are negotiating the healthcare roadways simply without the information and support they need to make good decisions about their care.”

A summary of the survey, including methodology and findings is available here.

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ABOUT CONSUMERMEDICAL

ConsumerMedical™ is a pioneer in treatment decision support programs, offering trusted clinical expertise, personalized research, expert opinion, physician quality identification and concierge health support to empower individuals to make educated decisions about their health and healthcare. The company’s guided patient support services help consumers answer the five most important questions in healthcare: What do I have? What do I need? Where do I go? What does it cost? and How do I cope? For 20 years, the company has provided employees and their dependents with the personalized information and support they need to navigate the healthcare system and become more confident healthcare consumers. To learn more, visit www.consumermedical.com/.

ConsumerMedical Selected by Xerox as Preferred Solution for RightOpt Private Exchange

Xerox Private Exchange Enhances Personalized Support for Smarter Health Choices – When health issues appear, finding the best treatment options can often be a confusing and intimidating process. Xerox today announced it will add ConsumerMedicalTM into its RightOpt® exchange, providing personalized support to make better healthcare decisions. Read more

ConsumerMedical Celebrates 20th Anniversary with New Brand

PEMBROKE, Mass. (March 2, 2016) – ConsumerMedical, a leading provider of medical decision support, expert medical opinion and concierge health support services, is pleased to celebrate 20 years in business supporting employees and their families at some of the nation’s top employers since 1996. With their 20th anniversary, the company is launching an evolutionary corporate brand that honors its existing mission as a trusted healthcare partner that puts the power for better, evidence-based medical decisions in the hands of patients, while helping employers drive cost reductions and improve quality.

“For 20 years, we’ve been there for the healthcare decisions that matter most to individuals. ConsumerMedical is a medical ally that empowers employees and their families to make better medical decisions at every point in their healthcare journey. Our new brand reflects our position as a trusted partner to both employers and their employees,” said David Hines, ConsumerMedical CEO and Founder.

In 1996, Hines had a close friend who received poor quality care because she was not given the latest, best practice treatment option for her cancer. If she had had a medical ally like ConsumerMedical to provide objective and independent clinical support, her decision would have been very different and the result a far better one. This was the catalyst that prompted Hines to create a company focused on providing clinical decision support and advocacy services, with the hope that future patients could have better results.

Today, the company has gained recognition among the nation’s leading employers as an essential benefit to help reduce healthcare costs while improving quality. Its team of leading physicians, researchers, and highly-trained Registered Nurses empowers patients and caregivers with current, clinically-relevant information curated for their unique needs and backed by one-on-one support throughout the entire healthcare journey.

“Nearly 1.5 million consumers rely on our services to guide their most important healthcare decisions, and that number is growing rapidly. With engagement of up to 10 times the industry average, our validated results deliver a $4:1 return on investment. Along with our 100% guarantee on cost-savings, this has really resonated with employers and consultants alike. Today’s healthcare system is placing more and more responsibility on consumers, and we plan to be there to help millions more employees and their families, well into the future,” said Hines.

About ConsumerMedical
ConsumerMedical™ is a pioneer in treatment decision support programs, offering trusted clinical expertise and personalized research, expert opinion and concierge health support to empower individuals to make educated decisions about their health and healthcare. The company’s guided patient support program helps consumers answer the five most important questions in healthcare: What do I have? What do I need? Where do I go? What does it cost? and How do I cope? For 20 years, the company has provided employees and their dependents with the personalized information and support they need to navigate the healthcare system and become more confident healthcare consumers. To learn more, visit www.consumermedical.com/.