Edumedics drives up to 41% in healthcare cost reductions


Review shows Edumedics drives up to 41% in healthcare cost reductions

Focus on obesity, diabetes, COPD and heart disease delivers best-in-class savings

Louisville, KY – May 31, 2017 Edumedics, an innovative healthcare delivery company serving self- insured employers, health plans and health systems, today announced quarterly results showing client savings between 16% to 41% among program participants with chronic diseases.

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What Is The Price of Poor Health? It’s Not Just Healthcare Costs

Health costs to employers aren’t only what they pay to provide health insurance. Most employers, however, aren’t aware of all the high costs associated with their employees’ poor health. They are related to additional healthcare costs, loss of productivity, absenteeism, or presenteeism (being physically present at work, but functioning at less than full capacity, due to illness, stress, or other personal issues.) Some studies suggest that these indirect costs are greater than the direct costs of medical care, possibly several times greater.
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A Municipality and Population Health Management

“An ounce of prevention is worth a pound of cure.”
— Benjamin Franklin

A Case Study

A municipality in the Midwest provided its employees with an excellent health plan and wellness program. The employees with the costliest chronic medical conditions: diabetes mellitus, hypertension (high blood pressure) and hyperlipidemia (high cholesterol and/or triglycerides), used the majority of the health plan resources. Even with rigorous management,  employees with these diseases face complications like deteriorating health, catastrophic consequences, and earlier death.

The municipality recognized that these employees needed education about their chronic medical conditions. They needed a program with accountability which produced results, reinforcing the benefits of better self-care. The municipality turned to Edumedics for solutions.

Edumedics is a unique company which designs actionable, effective, personal health programs, in alliance with an exciting, innovative movement in healthcare: population health management. It starts with identifying participants of the plan who have been diagnosed with chronic, high-maintenance medical conditions. This cluster constitutes only 20 to 30 percent of plan members, but who consume 70 to 85 percent of the healthcare dollars. Continue reading…

An Edumedics success story: Kate lowers her numbers, enhances her life

In April 2014, Kate* became one of the earliest Kentucky Teachers’ Retirement System members enrolled in the Edumedics chronic disease management program. Her successes keep coming. Clinically, her hemoglobin A1c has fallen from 7.8 to 7.0, she has lost more than 18 pounds, and she has lowered her LDL cholesterol from 100 to 54 mg/dL.  During her visits, the nurse practitioner checks weight, reconciles medication lists, and performs rapid-result blood testing. Two years into the regimen, Kate is still impressed by the efficiency. “She can check your blood glucose zip-zip!” Continue reading…

Diabetes related spending increasing

It’s not just the cost of diabetes that have gone up, but those with diabetes spend more on mental health and cardiovascular care as well, according to a study released by the Health Care Cost Institute (HCCI).   The spending increase was also due to more ER visits and prescription drug costs.

The study demonstrates the need to have a comprehensive program that addresses multiple issues, not just diabetes management.

Cost of Diabates Rising

Read Mark’s Story

Mark manages vehicle maintenance at M&M Cartage. Mark was diagnosed with diabetes on January 16th 2016 after he was rushed to the hospital. When he got to the hospital his blood sugar was 895 and his A1C was 11.9; he was in the hospital for four days. Continue reading…

Improving Employee Plan Performance for Hospital Systems


A large health system in the northeast was seeking ways to engage more participants in current benefit offerings. Their vision was to provide programs that were intentional, sustainable, accountable, and could provide measurable outcomes.

Edumedics provided a robust claim and biometric results analysis, pointing out areas for focus. The analysis discovered cost trends among those with diabetes, hypertension, and/or hyperlipidemia were escalating at a substantial rate, while overall compliance to care standards remained low. Based upon this information, the health system collaborated with Edumedics to provide chronic condition management programs for medical plan members with a diagnosis of diabetes, hypertension and/or hyperlipidemia. Continue reading…

How Edumedics Improves Outcomes for Medicare Members With Chronic Conditions

Program Overview  

Edumedics designs and implements programs to improve health outcomes for individuals with chronic conditions through personalized, face-to-face care and clinical coaching from Edumedics’ nurse practitioners. Armed with tangible action plans, participants are able to focus on the behaviors that directly impact their health condition(s).

These services are consistently provided through Edumedics’ proprietary Healthward™ technology platform Continue reading…

Edumedics Closes $4.2 Million Series A Financing

LOUISVILLE, KY (December 9, 2015) – Edumedics, an innovative healthcare delivery company that provides a complete care management solution for individuals who have—or are trending toward—diabetes and other chronic conditions, has closed $4.2 million in Series A financing.

According to Edumedics CEO Alice Shade, “Edumedics has proven that there’s a better way to provide services, one that has measureable engagement, quality and cost improvement.  We are not only helping individuals live healthier, happier lives, we are doing it in a way that improves the allocation of resources, both in terms of money and clinical improvement.” Continue reading…

Shade Honored by Ernst & Young for Entrepreneurial Leadership

At a ceremony in Cincinnati on June 19, 2014, Edumedics CEO Alice Shade received the Ernst & Young EDGE Award for South-Central Ohio and Kentucky. The award recognizes business leaders in the pipeline to become national Entrepreneur of the Year. Shade was the only executive from Kentucky to receive the honor. She was nominated for the award by Neal Thomas, an executive director at Ernst & Young in Louisville.