Cost Containment and Risk Forecasting for Healthcare Claims Revenue and Competitors

ETS provides a full suite of solutions for the payer community related to high cost therapies including (but not limited to) transplant, gene/cell therapies and anything cutting edge for over 110 rare and high cost conditions. ETS solutions answer these key questions for our clients across all healthcare verticals ... ✔What is my risk? ✔Who should I cover? ✔Where is the best value for my patient/member? 𝓦𝓱𝓪𝓽 𝓲𝓼 𝓶𝔂 𝓻𝓲𝓼𝓴? ETS has amassed a dataset of administrative claims that represents more than 90M lives. This longitudinal claims set allows us to develop proprietary targeting and segmentation algorithms to break down conditions rare conditions (as low as 2 per million). Combined with our clinical content we can get down to an estimated risk for any sized payer/insurer for these therapies well before they're approved. 𝓦𝓱𝓸 𝓼𝓱𝓸𝓾𝓵𝓭 𝓘 𝓬𝓸𝓿𝓮𝓻? ETS has developed condition specific networks of expertise from clinicians, researchers, medical centers, payer executives and other thought leaders. By monitoring the clinical trial pipeline and adding our own proprietary content we develop custom content to monitor and educate our clients and their staff in a unique way to support medical management and medical policy teams. 𝓦𝓱𝓮𝓻𝓮 𝓲𝓼 𝓽𝓱𝓮 𝓫𝓮𝓼𝓽 𝓿𝓪𝓵𝓾𝓮 𝓯𝓸𝓻 𝓶𝔂 𝓹𝓪𝓽𝓲𝓮𝓷𝓽/𝓶𝓮𝓶𝓫𝓮𝓻? ETS has a national network of medical centers and institutions ready to serve your patients. By contracting directly with centers with a phases of care approach ETS can help to manage costs for the payers while simultaneously ensuring the providers get paid sufficiently for the services that they provide. From single case agreements to end-to-end bundles we have the contracts in place to provide maximum value for your patients/members in need of treatment. Focus your resources on the high volume conditions. Let ETS partner with you on the risk, management and placement of rare, high-cost treatments.