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Episode #28 - Edison Health | Shawn Rutledge

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High Cost Claim Management


Our podcast discussion today between Michael Andrade and Shawn Rutledge, Chief Strategy Officer & Managing Partner of Edison Healthcare. In our discussion we review the focus of Edison and how they’re constructed to help Fortune 100 companies all the way down to their smallest client with 27 employees. Edison will work with any self-funded client to deliver actionable results for the most seriously ill on an employer health plan.

During our conversation we cover how EH addresses:

  • Current uncontrolled cost of high cost claimants and what employers can do to help their employees and give them access to world class care for substantially less.
  • Premium access to heart, valve, spine, oncology and transplant care at the highest-performing clinics and health systems in the United States and around the world.
  • When healthcare needs are complex, the most convenient option may not be the best. Even the closest, high-reputation, regional academic medical center may fall short to the patient and their needs.
  • Smart Care Medical Centers, what they are and how Edison has contracted with them in a way that creates a dis-incentive to cut, an incentive to treat, and provide quality care that a patient can depend on.

If you’d like to learn how this and other programs can fit into your benefit strategy please feel free to contact me: Michael Andrade (832) 236-8966