1. Value-Based, Centers of Excellence Organ and Bone Marrow Transplant Management Program
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. COE Organ Transplant Management Program
Organ and bone marrow transplants are expensive to the benefit plan, and thus must be carefully managed.
This 20+ years-in-the business, BUCAH-independent vendor uniquely combines outcomes management, timing optimization and net payable controls in order to reduce transplant costs. 
Performance modeling using risk adjusted transplant surgery data and outcomes metric analysis is used to identify and credential those centers operating at peak performance.
This front-end credentialing work then allows for comprehensive provider contracting resulting in lower net payables for the benefit plan.

3. COE Organ Transplant Management Program
Benefit Plan language gets modified to provide this “Benefit”
There are no PEPM fees but the vendor does bill an access fee when a vendor contract has been utilized and savings to the benefit plan have been realized.
Helps employers to fully realize Value Based Purchasing objectives by providing best outcomes, optimal timing and lowest net payable
Savings are in excess of 50% off national average cost

4. Transplant Risk (Milliman)
Estimated Transplant & Cancer Risks
Employer Group
# of Employee
# of Members
Transplant Risk (Milliman)
Cancer Risk
(SEER All Ages) #1
43,000
100,000
14.9
436 #2
10,800
25,000
3.7
109 #3
2,100
5,000
0.75
21.8

5. Capitalizes on Wait Maximizing Opportunities
Wait time 10.6
MELD Score 25
Wait time 40.9
MELD Score 29
Wait time 30.2
MELD Score 29
Wait time 7.3
MELD Score 29
Wait time 4.8
MELD Score 22
Wait time 18.1
MELD Score 25
Wait time >72
MELD Score 32
Wait time 7.0
MELD Score 25
Wait time 18.1
MELD Score 22
Ron
Wait time 27.6
MELD Score 27
Wait time = median months
MELD Score = median at TX
Optimal MELD = 15 – 24
Wait time 2.2
MELD Score 22

6. Savings Realization Rates
Average Phase 3 Discount : 41 %

7. 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