The only 100% Independent Outpatient Lab Benefit Management Program for Health Plans
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Only Kentmere Healthcare Consulting provides you:
- The original and longest-existing Laboratory Benefit Management Program (LBMP) serving health plans since 2000
- The only validated program used by national, regional and local health plans of all sizes: from 16,000 members to 23+ million with experience in every state
- Highest ROI of any Lab Benefit Management Program: >20-1 for all clients, with impeccable references
- We manage the RFP process, ongoing steerage and leakage management, savings monitoring, new test technology clinical validity, and utility evaluation, including genetics,
using proprietary analytics unique in the health care industry
- Your health plan still owns the network so you are not liable for others' mistakes
- All quality metrics improve under the Kentmere Lab Benefit Management Program
- Working with health plans, we negotiate, evaluate and validate the accuracy of analytic and savings claims in proposals from high cost LBM /prior authorization companies
Visit with Kentmere at the following industry events:
ACO & Payer Leadership Summit 2022
Marcus Evans, San Diego, CA
Blues Summit 2022
Las Vegas, NV
Kentmere Healthcare Consulting Corporation Announces Executive Promotion
Kentmere Healthcare Consulting Corporation has promoted Jennifer E. May to Vice President Health Plan Services. In that role, she is the primary executive contact for all Kentmere’s health plan clients.
“Jennifer has been a key part of Kentmere’s success for a decade.” said Jeffrey M. Petrizzi, President of Kentmere Healthcare Consulting Corporation. “She is highly regarded by our health plan clients for her understanding of each client’s specific needs and her ability to direct their lab benefit management program to maximize its success.”
Ms. May joined Kentmere in 2012 as Director of Health Plan Contracting and Services.
“I have always believed in Kentmere’s mission to collaborate with health plans to maximize the laboratory benefits enjoyed by their members. Kentmere provides a level of expertise in laboratory services that enables health plans to focus on other aspects of their business,” said Ms. May. “In this new position, I am looking forward to continuing to drive Kentmere’s leadership position in this space.”
Prior to joining Kentmere, Ms. May held positions as Senior Healthcare Auditor and Consultant with Arthur Anderson, Director of Provider Network and Contracting with CareFirst BCBS, Director of Provider Networks for Mid-Atlantic Medical Services, Inc., and as CFO for James M. Jost & Co, Inc.
She holds a BBA in accounting from James Madison University and is a licensed CPA.
Success at CAHP
Kentmere Healthcare Consulting Corporation has experienced outstanding returns from the California Association of Health Plans’ annual conference.
“We visited with a majority of the health plans represented by CAHP,” said Jeffrey M. Petrizzi, founder and CEO of Kentmere Healthcare Consulting Corporation. “In discussions, we continue to find health plans value the independence Kentmere brings its clients.” Kentmere is scheduling follow up with those asking for lab benefit management support now and into the new year.
Kentmere is the only laboratory benefits management program (LBMP) not affiliated with any labs, health plans, venture groups or imaging companies.
“Health plans recognize that non-independent LBMPs are unable to provide balanced assessments in all aspects of lab testing and technology,” Mr. Petrizzi said. “At the end of the day, the lack of independence costs plans more than it saves.”
Kentmere Healthcare Consulting Corporation established the first LBMP for health plans. Founded and headquartered in Wilmington, Del., the company has pioneered the LBMP category with its proprietary outpatient program, guiding payers to improved quality and service while saving plans tens of millions of dollars annually.
Kentmere Healthcare Consulting Corporation & Union Street Healthcare Payer Strategies Enter into Collaborative Engagement
Kentmere Healthcare Consulting Corporation has entered into a collaborative engagement for its proprietary Laboratory Benefit Management Program (LBMP) with San Diego-based Union Street Healthcare Payer Strategies.
“We are delighted with this engagement,” said Jeffrey M. Petrizzi, founder and CEO of Kentmere Healthcare Consulting Corporation. “Union Street shares a vision that managing the lab component of health benefits can improve service in a cost-effective manner.” The arrangement enables Kentmere to bring its expertise with the Kentmere Laboratory Benefit Management Program to Union Street’s most valued clients.
Guy Shields, founder and managing partner of Union Street Healthcare Payer Strategies said, “Kentmere is the pioneer of the laboratory benefit management space. Its program effectively manages outpatient laboratory costs, quality and delivers tremendous value to health plans.”
Mr. Shields has more than three decades of experience leading managed care, insurance, PBM and other healthcare organizations. Union Street’s mission is to improve individual patient outcomes, reduce the total cost of care and achieve improved overall population health.
Kentmere Healthcare Consulting Corporation established the first LBMP for health plans. Founded and headquartered in Wilmington, Delaware, the company has pioneered the LBMP category with its proprietary outpatient lab management program, guiding Blue and other payers to improved quality and service, while saving plan partners tens of millions of dollars annually.
Kentmere Healthcare Consulting Corporation Announces Agreement with Horizon Blue Cross Blue Shield of NJ
Kentmere Healthcare Consulting Corporation has announced that Horizon Blue Cross Blue Shield of NJ (Horizon BCBS) has renewed its contract for Kentmere’s proprietary outpatient Lab Benefit Management Program.
Under the agreement, Horizon will continue using Kentmere’s program to manage its outpatient laboratory benefits. Kentmere has supported Horizon’s lab benefits programs since 2017. Kentmere’s proprietary outpatient laboratory benefit management program is the only full service validated program available to health plans in the U.S.
Read Kentmere's recently published White Paper, "The Evolution of Outpatient Laboratory Benefit Management: Sound Science & Medicine with Appropriate Oversight"
Before 2000, the category of outpatient lab benefit management did not exist. Both concept and category were established by Kentmere Healthcare Consulting Corporation to assist health insurers manage outpatient laboratory testing costs and use as well as improve laboratory service quality and access for members and physicians. As Kentmere continued to define the category, lab benefit management now includes providing effective and ongoing evaluation of new laboratory testing, including genetics, for clinical validity and utility with medical policy guidelines. It also includes measuring performance standards to include member and physician service levels access and turn-around times.