HEALTH PLANS
Sleep is the ultimate care accelerator
There’s only one direction healthcare costs are headed and that’s up.
Health spending totaled $74.1 billion in 1970. By 2000, health expenditures had reached about $1.4 trillion, and in 2020 the amount spent on health tripled to $4.1 trillion. Increased demand for health care services, incidence of chronic illnesses and changes in government policy continue to drive costs up.
This unabated increase coupled with a shortage of doctors and nurses, inefficient, bloated systems and burnout rates among industry professionals have accelerated the shift to innovation, value-based care models and boosted productivity in health care ecosystems.
Source: “Consumer prices are rising fast, and healthcare isn’t far behind”, Shubham Singhal and Aneesh Krishna, McKinsey & Company, Feb 2022; “The Rising Cost of HealthCare by Year and Its Causes”, Kimberly Amadeo, The Balance, October 2022; “How has U.S. spending on healthcare changed over time?”, By Nisha Kurani, Jared Ortaliza, Emma Wager, Lucas Fox, and Krutika Amin KFF, February, 2022
SleepCharge® can boost the efficacy of any health care benefit ecosystem because ignoring unaddressed sleep disorders is costing millions.
Sleep issues are highly prevalent and underdiagnosed.
While there is a high prevalence of sleep apnea in common chronic conditions/diseases, only 20% of Obstructive Sleep Apnea (OSA) is diagnosed and an even smaller percentage treated in the US.
Source: “The price of fatigue”, Harvard Medical School + McKinsey
Poor sleep is a health care cost multiplier.
Employees with sleep
related issues are 3x more expensive than the rest of your workforce.
Source: Nox Health, Select Clients
Poor sleep is hiding in high cost claims.
One out of every five dollars of employees’ medical and pharmacy spend is attributed to employees & dependents with a sleep disorder.
Better sleep health outcomes means better overall health.
When sleep issues are left untreated in patients with other chronic conditions, not only are they more expensive to cover but their costs increase over time. On the flipside, once sleep issues are treated they see better outcomes and claims usage goes down.
Current sleep health programs are silos of care navigated by the patient and not structured for their success.
Traditional FFS sleep solutions are built around providers, tend to have poor adherence and lead to claims waste. Based on industry data, typically, only 50% of members diagnosed with a sleep test start treatment and of that, only 50% of them remain in treatment beyond the first year.
While traditional solutions solve for some parts of the member journey with more affordable testing or patient monitoring systems or adherence requirements, they all place the burden on the member and do not drive positive outcomes. This means the true impact of improved sleep health is never felt in terms of both health and cost outcomes.
SleepCharge® is a frictionless, one-stop sleep care management platform that puts people and outcomes first.
We share risk upfront, align payment to care delivery, deliver one case rate, and reduce complexity at the back end. Our solution consistently demonstrates the value of managed care that includes ongoing support, access to a network of sleep specialists, multiple levels of sleep testing, range of therapeutic equipment, mask fitting program, and ongoing supply replenishment.
A behavioral health approach with personalized care pathways increases engagement and retention.
Sleep health care is complex to deliver with long care cycles, so coordinated care with behavioral and medical management provided by an integrated team of sleep coaches, respiratory therapists, and sleep physicians who know their patients is the only way to ensure sustained success.
Based on Nox Client base assumptions
