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
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.
Kentmere Healthcare Consulting Corporation Moves to Fresh and New Offices
Kentmere Healthcare Consulting Corporation changed offices last month in order to meet the needs of an expanding team, which is the result of investment in its analytics and clinical departments.
Kentmere Healthcare Consulting Corporation Hires Experienced Health Insurance Manager
Kentmere Healthcare Consulting Corporation added an experienced healthcare office manager and marketing specialist to their team through the hiring of Delaware native Michele DiGennaro.
The Health Plan of West Virginia, Inc. Engages Kentmere Healthcare Consulting Corporation for Outpatient Laboratory Benefit Management
The Health Plan of West Virginia, Inc., has brought in Kentmere Healthcare Consulting Corporation of Wilmington, Del. to increase quality and services of outpatient laboratory testing for physicians and members while decreasing the cost of testing. The Health Plan serves approximately 183,000 members, primarily in West Virginia and Ohio.
Medical Tests Seek Delicate Balance Between Cost and Results
Medical lab testing continues to provide a mixture of good news/bad news headlines as more diseases and conditions are being detected earlier and more precisely, saving or extending the lives of patients, while at the same time dramatically adding to the costs of health care for governments, businesses and patients.
Genetic Testing Gone Wild
Genetic testing, when used prudently, help physicians and patients make an informed treatment choice together. But when the DNA tests are marketed directly to consumers, they can place an undue burden on our already overloaded medical system. Let's compare two diametrically opposed approaches to using genetic testing and demostrate how well-meaning consumers can become costly, burdensome middlemen in health care.
Questions Health Plans Must Ask Before Considering a Laboratory Management or Genetic Prior-Authorization Program
Several start-ups have emerged in the laboratory benefits management and genetic prior authorization space, a direct result of both out-of-control costs and the explosion of genetic testing available. Many are trying to apply the Pharmacy Benefits Manager (PBM) model to labs, which is its own animal and not comparable. Managed care executives are being inundated with marketing about these programs, and they are causing confusion.
Kentmere Healthcare Consulting Corporation Expands Team
The lab benefit management firm Kentmere Healthcare Consulting Corporation headquartered in Wilmington, Del. has expanded its analytical team, recently adding healthcare industry veteran Lisa Wilkinson to the team as lab benefit management program analyst.
Why health plans must rein in unnecessary DTC testing
DTC genetic testing is gaining popularity but is not always helpful for patients and can create unnecessary costs for health plans. SmartBrief spoke with Kentmere Healthcare Consulting Corporation Chief Medical Officer Russel E. Kaufman to learn how health plans can discourage unnecessary DTC tests.