ACHIEVE Clinical Services has a proven track record for delivering cost savings to our clients

Client Saving Example

For close to ten years, the Achieve Clinical Services team has worked with a Southern California health plan that now has 80,000 plan members. When we started with this health plan, they had 3,000 members. The health plan continued to grow and utilize our offshore clinical and administrative services, resulting in significant cost savings.

 

On average, Achieve Clinical Services has saved this health plan $7,000,000 per year on domestic labor costs. These savings have allowed the health plan to invest in other areas of their business, improve member experience, and provide better healthcare services to their members.

 

By engaging with Achieve Clinical Services, clients can expect to reduce their operational costs while
maintaining high levels of quality and efficiency. Achieve Clinical Services, expertise, and experience in offshore clinical and administrative services enable us to deliver these savings without compromising on the quality of services.

 

Whether you're a small or large healthcare provider, Achieve Clinical Services can help you achieve
significant cost savings while improving your service delivery. Contact us today to learn more about how we can help you reduce your operational costs and improve your bottom line.

Client Saving Example

Achieve Clinical Services is proud to have developed a phone-based triage system that has successfully diverted health plan members from unnecessary hospitalizations toward in-network subacute care providers. By coordinating with treating physicians and directing members to the appropriate subacute care provider based on specific conditions, we have been able to achieve significant health plan savings of between $30K - $50K per diversion.

 

Our triage system works by taking calls from health plan members seeking help in locating a hospital and then utilizing an algorithm to determine whether or not hospitalization is necessary. When it is not, our clinical team then coordinates with the treating physician to direct the member to an in-network subacute care provider that can provide the necessary care. This approach has not only helped our clients save on healthcare costs but has also led to better health outcomes for patients.

 

At Achieve Clinical Services, we are committed to improving healthcare access and affordability and will continue to innovate and develop new solutions to help our clients meet their clinical and financial goals.

Client Saving Example

A medical case management company based in Florida has successfully implemented Achieve Clinical Services (ACS) to efficiently manage its diabetes monitoring and health coaching program. Our comprehensive solution includes 24/7 live clinical intervention, leveraging real-time wireless biometric readings.

 

By utilizing our services, the company has experienced significant business expansion and client acquisition. Moreover, our clinical services have proven instrumental in retaining crucial clinical staff and mitigating clinician burnout by empowering them to focus on vital patient-facing responsibilities. Our dedicated ACS clinicians are available 24 hours a day, including nights, weekends, and US holidays.

Client Saving Example

In 2021, a health plan client based in California engaged Achieve Clinical Services (ACS) with the goal of reducing expenses to support their rapid expansion efforts. With the responsibility of claims processing and other administrative duties now under direct management by ACS, the health plan has experienced increased operational efficiency and dramatically reduced overhead costs.

 

This positive outcome has resulted in substantial growth of ACS agents within the organization, more than doubling their initial numbers. This, in turn, has empowered the health plan’s core staff to focus on enhancing patient satisfaction, leading to a significant rise in plan membership.

Additional Benefits to Consider

Lower Labor Costs

By engaging Achieve Clinical Services, the health plan was able to avoid the costs of hiring and training additional staff members. They also didn't have to worry about paying domestic wages for overtime or benefits, which can be a significant expense for in-house call centers.

Reduce Overhead Costs

Operating an in-house call center can be expensive due to the need for equipment, technology, management, benefits, and office space. By outsourcing their call center services, the health plan was able to eliminate these overhead costs.

 

Increased Efficiency

Achieve Clinical Services is able to handle a much larger volume of calls than the health plan’s internal team. We were also able to provide 24/7 coverage, which meant that plan members were able to get their questions and clinical concerns answered and resolved much more quickly. This increased efficiency helped to reduce the number of calls that required follow-up, which in turn lowered costs.