Improving Healing Outcomes & Significantly Reducing Costs
Complete In-Home Chronic Wound Care Program
We have built the industry’s only complete in-home wound chronic wound care program driven by clinical expertise, evidence-based guidelines, and innovative technology.
This standardizes wound care and delivers real-time responsive care plans that improve healing outcomes and significantly reduce costs.
Challenges Impacting Health Plans Today
Growing PMPM Costs
Commercial PMPM costs range from $10 to $17 and Medicare Advantage costs range from $20 to $32. Prevalence rates range from 6.5% to 16%.
High Infection Rates
Over 60% of members with chronic wounds have an infection which causes negative outcomes and drives an increase in hospitalizations and amputations.
Concerning Gaps in Care
Claims analyses revealed that patients go 30 to 48 days without any wound treatment. Most chronic wounds, when being treated effectively, must be seen weekly.
Multiple Places of Service
Members on average are visiting 6 to 12 different and separate places of service for their wound treatment.
Limited Inpatient Treatment
47%-63% of members with chronic wounds, who have had an inpatient stay, have not had any clinical care in the 6 months prior to the inpatient admission.
Substantial Average Cost
Average wound care costs range from $19K to $28K in Commercial population and $11K to $13K for Medicare Advantage population.
Our Solution
Esperta Health provides comprehensive wound care to designated member populations. We manage health plan populations of all sizes that seek better outcomes in a value-based care model. Our comprehensive solution has four major components that are helping health plans achieve significant savings.
Wound Care Expertise
100% of Esperta Health’s wound-certified specialists meet rigorous standards and have nationally accredited Wound Care certifications in chronic wound care.
Wound Evaluation System
Our evaluation system gives our clinicians the accuracy and flexibility needed to capture all the pertinent information about the patient’s wound in real-time.
Responsive Care Plans
Our proprietary algorithm analyzes over 15,000 Responsive Care Plans to recommend the most appropriate plan for our specialist to treat the patient.
Wound Care Prevention
Once the wound is healed, patients enter a 12-week wound prevention plan to ensure the their wound does not come back. If there is any indication of potential wound recurrence, we intervene.
Benefits to Health Plans
In addition to improved healing outcomes for your members, experience up to 35% reduction in wound care spend.
- Care: High-quality, standardized wound care wherever the member is
- Expertise: Delivered by wound-certified specialists following evidence-based protocols
- Members: Increased member satisfaction and improved healing outcomes
- Spend: Predictable spend removes uncertainty and reorients care to outcomes, not cost
- Utilization: Value-based contracting manages utilization and FFS overuse
Benefits to Your Members
In addition to improved healing outcomes, your members can expect the following benefits.
- Convenience: Convenient appointments in your member’s home
- Expertise: An open door to our wound-certified specialists, care plans, and information
- Access: Available to members in rural and medically underserved areas and to members with transportation or mobility challenges
- Engagement: Personalized care plans show healing instructions which recommends lifestyle modifications and nutrition for members and caregivers
Outperforming the Industry Standard
We continue to improve healing outcomes for our patients and reduce costs for health plans by treating chronic wounds. The following clinical outcomes are what you can expect for your members.
85.9 days
Average heal time for all wound types
120 days
Industry average
71%
of our wounds are healed within 90 days
51%
Industry average
78%
of diabetic wounds healed within 90 days
75%
of pressure wounds healed within 90 days
68%
of venous wounds healed within 90 days
Transforming Patient Care: Esperta’s Positive Experience Approach
Across the board, the healthcare landscape is constantly evolving. In wound care, Esperta Health is changing the treatment space through clinical expertise, innovative technology, and evidence-based guidelines. But even with all these advances in healthcare, nothing beats a positive patient experience.
Read Now