Overview of Patient Advocacy for EAP's

Overview of Patient Advocacy for Employee Assistance Programs

About Us
Who is The Karis Group?
What is Patient Advocacy?
Service Description
Value for EAP’s
How it works
What employees can expect
What you can expect
Additional Information
What others are saying
FAQ’s
How do I learn more?
Contact Information
Agenda

The Karis Group is an Austin, Texas professional services firm that has been in business since 1996.
Last year, we helped almost four thousand individuals with their medical bills and saved them over $24MM.
While our main focus has been working with health plans nationwide, we are now offering the same services directly to EAP’s.
We work for the employee, mediating and advocating on their behalf to obtain the best resolution available for portion of their medical bills they are responsible for.
Watch our introductory video http://bit.ly/tkgpaintrovideo to learn more
Who is The Karis Group?

What is Patient Advocacy?
We mediate
Between patients and providers regarding patients’ bills
We educate
Patients on their options
We advocate
On behalf of patients while respecting providers
We pursue
Medicaid and charity care qualification
We negotiate
Discounted settlements and payment plans
We communicate
Consistently with patients and providers, keeping everyone informed about the status, next steps and results.
Note: Karis does not perform price comparison, scheduling or steerage services. “Patients” includes employees and members of their households.

Value for EAP’s

How it works

What employees can expect

Average savings of more than 30% per bill
Overall savings of more than 50% on total bill dollars*
We’re successful in reducing 3 out of 4 bills
Average case takes 40-60 days to complete
*For example, a employee may have a $100 and $10,000 bill. We may save 5% on the $100 bill and 55% on the $10,000 bill, resulting in an average savings of 30% per bill. The total dollar savings though would be $5,505, so over 50%.
What your employees can expect

What you can expect

“Saving our enrollees well over 4 million dollars this year,we consider you a big reason for our success”
“I owe you and your organization such a great debt of thanks”
“I cannot imagine having worked with anyone more caring, understanding or courteous”
“I literally cried when I heard that The Karis Group had managed to get my bills reduced”
“You made the healing process so much easier”
“Saying thank you would be completely inadequate”
“You lifted the burden from us”
“Prompt and measurable results”
“We appreciate the courtesy and responsiveness to our enrollees and staff.”
What others are saying

Are there any exclusions?
Bills for prescriptions, mental health or substance abuse treatment are not eligible for patient advocacy (bills from injuries caused by mental health or substance abuse problems are eligible).
Bills at providers located outside the United States.
What about chronic conditions or diseases?
We handle these situations on a case by case basis after providing our initial service to the employee. Our intent is to assist the employee whenever possible, but our service is not designed to be used indefinitely.
How often is Karis in contact with employees?
Typically, we reach out to employees every ten days. If we do not expect to hear from a provider for an extended period of time, we will stay in touch with the employee and keep them up to date regarding the process.
What are Karis’ hours?
9:00 am to 5:00 pm Central Standard Time, Monday through Friday.
If an employee requests contact before or after business hours, we can accommodate as needed.
What languages can Karis’ handle?
We have Spanish speaking staff and documents in Spanish.
We can handle most other languages through our third-party translation service.
FAQ’s

Please contact us learn more:
Mike Martin, VP of Healthcare Services
Direct 512.828.8136 | mmartin@thekarisgroup.com
3755 S Capital of TX Hwy. Ste 240
Austin, TX 78704
Phone 512.292.9560
Fax 512.292.5719
www.thekarisgroup.com
We make healthcare work. For everyone.

Overview of Patient Advocacy for EAP's

by The Karis Group on May 07, 2010

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Overview of Patient Advocacy for EAP’s — Presentation Transcript