1. Cancer Care Benefit that Uses Evidence-Based Guidelines to Assure Most Efficient Use of Benefit Plan Dollars
HR Specialty Products & Services Catalogue Executive Summary
A No Frills Distillation of Vendor’s Marketing Collateral
Thomas A Ference
President & CEO
Human Resources Mining & Distribution Co
Locating, Validating and Accelerating HR  Innovation
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2. Evidence-Based Guidelines Cancer Care Benefit
Cancers typically represent the largest category of healthcare plan expenditures and yet are typically paid the same as any other benefit under the healthcare plan e.g. no specific plan language, no provider clinical pathways, etc.
In addition, cancer is misdiagnosed or mis-staged about a third of the time and case-managed less than 50% of the time.
To address these issues, this cancer care services provider uses its own oncology experts and external national resources to help assure optimal treatment in coordination with patients, providers and health plan administrators
Following verification of the diagnosis and staging, proprietary software containing the patient’s clinical facts and drug combination with pricing references are used to identify the optimal evidence-based chemotherapy regimen / drug combination.

3. Evidence-Based Guidelines Cancer Care Benefit
Their resources allow 95% of patients to be treated locally.
An available national network of COE facilities is recommended only when found to be appropriate through diagnostic verification, evaluation / oversight and / or high patient volume expertise.
The cancer care benefit is specifically designed and PEPM-priced to meet each plan sponsor’s own objectives.
Thereafter, the benefit is inserted into the employer’s legal Plan Document to provide a much needed advocate-driven clinical pathway.
Adherence to treatment guidelines has been shown to reduce cancer-related costs between 35% and 50%

4. Proprietary Cancer Benefit Process –Overview Member
Benefit Plan Language / Member
Member Centric Quality Care
Triage Center
Treatment Begins & TPA Authorization
Medical Concordance Process
Optimal Guideline Program
Member
Clinical Trial COE Network
COE Access Program
Oncology Nurse Experts

5. Cancer Benefit Plan Language
Cancer Benefit Language:
Reviewed by top lawyers and consultants
Ready for SPD Insertion
Vendor was the first to fully operationalize cancer guidelines
Requirements include:
-100% of cases,
-evidence-based treatments,
-COE access,
-2nd opinions
-ACA clinical trials

6. Treatment Options for Local Providers

7. Cost Reductions Resulting from Guideline Care
50%

8. Next Steps
This product/service is contained in the HR Specialty Products & Services Catalogue™
Operational level details about this particular service provider can be obtained in conference with the vendor
The HR Mining &Distribution Co. is an independent and contracted representative of the vendor
Upon your request, we will arrange for an introduction that can range from a simple, quick conference call to a services overview / system demo
Tom Ference (Chicagoland area) or
Thank you for your potential interest in this fresh thinking