Last year, U.S. employers spent nearly $700 billion on employee health care services, and costs keep rising. Researchers have suggested as much as 30 percent of all health care spending is lost to overuse of medical services and other forms of waste. To employers, such standardization is seen as a means of improving the value of services their employees receive and lowering costs—enabling employers to remain competitive!
The APLOS model is unique and has proven success for Employers and their Employee’s by providing the right care in the right place at the right time and at the right price. We strive to eliminate waste, achieve zero defects, and, where possible, focus on keeping people well, reducing the need for reactive care. We emphasize evidence-based care (clinical decision making backed by validated research); eliminated unnecessary care; allowed patients to access care and return to work faster; generated high levels of patient satisfaction; and cut hours of waste in business processes.
APLOS offers business healthcare consulting services for Employers, TPA's, IPA's, CIN's, IDN's, Providers and Health Systems. Our expertise and focus is to improve our clients Population Health, contain and lower long-term total medical cost, and manage the High Performance Provider Network. We take all the hassles away from the Employer to develop their Exclusive Integrated Delivery System.
The APLOS High-Performance Provider Network is an efficient model that integrates Employers, Employees, Providers and Care Teams with high performance, high quality outcomes and cost savings initiatives. Each Network meet’s the network adequacy requirements (primary care, specialist, outpatient, inpatient hospital, surgical and ancillary providers). We manage the Provider Performance, quality outcomes and medical cost management.
We Clinically Integrate all Providers and Care Teams which reduces total medical cost and lowers utilization and duplication. Our sister company Aspire Integrated Healthcare Solutions offers our customers iConnect Health Information Exchange (HIE), the infrastructure to enable seamless connectivity of patient health information across the care delivery network (physicians, hospitals, ancillary services, skilled nursing facilities, and payers), optimizing operational efficiency.
The Aspire iCare Manager is a solution that helps care coordinators engage with patients in these settings. iCare manager has built-in care protocols from Johns-Hopkins University.
In addition, iCare Manager also has built-in clinical decision support capabilities that help care-coordinators identify the timely interventions necessary to avert high-risk events and enhance the patient’s healthcare.
Our care model both enhances and optimizes healthcare services by focusing our resources specifically on personalized proactive care and coordinating the information with Providers and Care Teams. We operate within our framework to manage our complete care responsibilities and then interface the meaningful data to our healthcare partners to provide the most current clinical data and trending information for action.
At the heart of patient-centric approach to managing population health, iHM empowers the patient to take charge of their health with a variety of interactive and supportive tools. These bi-directional communication tools are designed to comprehensively engage patients with their physicians and care providers using secure anywhere, anytime access, resulting in significantly improved outcomes.
Our model offers Employee and Patient involvement in their healthcare solutions, wellness programs, health coaching, health risk assessments, care resources and incentives to prevent illness, injuries and improve clinical outcomes and lower absenteeism.
We offer free Employee Health Education seminars by Beta Foundation to help Employee's to better manage and avoid Chronic Diseases for the whole family!
The APLOS High-Performance Provider Network is available for Employer's Occupational Health and Workers Compensation programs. The 24 hour coverage model has proven to lower cost and improve outcomes for Employers.
Our expert Insurance assessment teams at Capstone Management Group will guide you to new alternative risk, captives, reinsurance, and stop-loss services that will save your business significant money in total Insurance premiums which will pay for your Employee whole health programs, Clinical Integration and High-Performance Provider Network.
Our sister company Aspire Integrated Healthcare Solutions will conduct an analysis of your Employees health status using the iCare Analytics engine that provides real-time actionable patient insights that facilitate early interventions for high risk populations, provide personalized care notifications, and generate recommendations. This helps provide cost effective quality care and resulting shared savings.
Precision medicine is only possible when there is a complete picture of a patient's health, including medical decisions, treatments, practices, and products so healthcare can be customized for each individual.
Our clinical expert partners will conduct a comprehensive whole person assessment (body, mental, lifestyle and social determinants) to establish an effective care plan with your Employees, our care teams, and the Providers.