HAPPY EMPLOYEES & HEALTHY SAVINGS
As an independent Smart Care program, we are well-qualified to meet your needs and expectations. This is what we do – what we were built for. Our team has many years of business and real-world experience giving them the ideal combination of intelligence, thoroughness and compassion. In addition, we have a well educated and experienced customer service staff.
The Edison Healthcare Network has contracted with leading health systems committed to offering multidisciplinary, team-based approaches in the evaluation and treatment of patients. The emphasis is on appropriate care. Our health systems will ensure that the original diagnosis is correct and the treatment is appropriate.
EDISON HEALTHCARE changes lives by partnering with top MEDICAL CENTERS for certain Complex surgical Care, giving EMPLOYEES easy access to the very best, most appropriate solution possible.
WE PRIMARILY FOCUS ON THE FOLLOWING:
Weight Loss and Bariatric Surgery
If surgery is needed, our Smart Care Medical Centers have met the Edison Healthcare proprietary quality and ethical practice guidelines as well as provider performance measures leading to successful surgical outcomes.
OUR APPROACH TO SERVE YOU
Edison Healthcare is pleased to provide a Return on Investment (ROI) Calculator tool, to assist employers or brokers in forecasting the impact of the program on its health plan costs and members.
The ROI Calculator is highly customizable based on specific client data; including size, plan enrollment mix, and health plan experience. Incorporating Edison Healthcare's program and case fees, and using a set of transparent, credible sources, the tool provides users the ability to forecast the impact of Edison Healthcare's specialized network of Smart Care Medical Centers on overall plan costs.
***THE ASSUMPTIONS AND CALCULATIONS HAVE BEEN VALIDATED BY THE CARE INNOVATIONS™ VALIDATION INSTITUTE, A GE-INTEL BACKED ORGANIZATION WITH A FOCUS ON CERTIFYING THE METHODS USED IN TOOLS SUCH AS THE ROI ESTIMATOR TOOLS SUCH AS THE ROI ESTIMATOR
Control Your Health Care Spend
The Edison Healthcare solution is not discount-driven or solely based on objective hospital criteria. Our mission is to concentrate on avoiding inappropriate and unnecessary treatment plans that are being regularly performed at hospitals across the country.
WE INVITE YOU TO READ AN ARTICLE FEATURING THE PRESIDENT OF EDISON HEALTHCARE, TOM EMERICK, AS FORBES SHARES HOW TOM HAS PIONEERED A NEW WAY OF PROVIDING GENUINE HEALTHCARE FOR PATIENTS AND SAVINGS FOR EMPLOYERS.
PLAN DESIGN MODEL
The Edison Healthcare plan waives out-of-pocket costs when members use a Smart Care Medical Center.
In addition to the full cost of treatment, the benefit includes travel and lodging expenses for both the patient and a caregiver. The Edison Healthcare Service Team will explain the benefits of Edison Healthcare to your employees and eligible dependents then coordinate all travel (i.e. flights, hotel and transportation).
***HSA compatible plans require special handling. Very generous plans may need non-network benefit reduction.
SMART CARE MEDICAL CENTERS
NOT ALL MEDICAL CENTERS ARE THE SAME.
Our Smart Care Medical Centers are fundamentally focused on patient-care. They practice medicine in a team-based, data-driven and accountable model. As an Edison Healthcare Smart Care Medical Center, they perform complex surgeries with quality outcomes, yet they are not afraid to recommend non-surgical treatment approaches. They are integrated and skilled at handling out-of-town patients.
They treat complex conditions the way you would want them too.
SMART CARE EVERYONE CAN TRUST AND YOUR COMPANY CAN ACCESS.
We have done the analysis, performed the due diligence, negotiated the contracts and built the infrastructure to give your high cost claimants special access to our network destinations of true medical excellence.
We have gone beyond reputations and high volumes to identify specific departments in specific medical centers that really know how to deliver excellent and appropriate care.
PEOPLE ARE AT THE HEART OF EDISON HEALTHCARE.
Our Edison Healthcare Service Team will explain the benefits of Edison Healthcare to your plan members and coordinate all travel arrangements.
The Edison Healthcare team, along with the Smart Care Center's Nurse Navigator, will work with your plan member and his/her local physician to obtain the necessary medical records and customize the plan of care.
A HEALTH CARE OASIS EMPLOYEES CAN RELY ON.
We help our clients develop and implement the optimal marketing and business strategies to add Edison Healthcare to existing health plans. Our team will also help identify surgical candidates and encourage them to take advantage of the Edison Healthcare network.
We also process claim payments, report program performance and patient results.
Let's get in touch.
Or, enter your name, email and phone number below and an Edison Healthcare team member will connect with you.