What Edison Does
Edison addresses the most flawed aspect of healthcare today, the appropriateness of care. Misdiagnosis, over-utilization, sub-optimal treatment, and overpricing plague our healthcare system and lay a substantial financial burden on employers. Through Edison’s SmartCare Center Network, members experience the best care in the nation: including a proper diagnosis, highly personalized treatment plans, world-class surgery (when necessary), and aggressive custom pricing bundles. Edison’s process leads to vastly superior health outcomes for members and substantial ROI for employers.
Edison’s Medical Network
Edison Healthcare has contracted with America’s top medical centers who are committed to multidisciplinary, team-based approaches for the evaluation and treatment of patients. Edison vets their centers over 18 months to ensure they meet our standards using our four pillars of accreditation.
Structure
• Physician Led
• Salary Based
• Multi-Disciplinary
• Setup for Travelers
• Integrated Contracting
Philosophy
• Team Based
• Patient Care Focused
• Evidence-Based
• Accountability
• Constant Improvement
Outcomes
• Top Performance
• Risk Adjusted
• Continuous Monitoring and Review
Financials
• Global Case Rates
• Competitive Pricing
• Minimal Or No Outliers
Structure
• Physician Led
• Salary Based
• Multi-Disciplinary
• Setup for Travelers
• Integrated Contracting
Philosophy
• Team Based
• Patient Care Focused
• Evidence-Based
• Accountability
• Constant Improvement
Outcomes
• Top Performance
• Risk Adjusted
• Continuous Monitoring and Review
Financials
• Global Case Rates
• Competitive Pricing
• Minimal Or No Outliers
What Edison Covers
Edison addresses the 6% – the most complex, costly, and misdiagnosed conditions:
Results
Five spinal fusion cases recently came in from a single employer, and each were sent to one of Edison’s SmartCare Centers. All five had been misdiagnosed in their local markets, each recommending unnecessarily risky surgeries that would have led to additional surgeries down the road, months of missed work, high degrees of pain, more pain med usage, and diminished quality of life. After consulting with Edison’s surgical teams, 2 needed only injections and PT, and 3 had minor outpatient procedures – for a total employer savings of $351,000.
Success Story
… Within a week of contacting Edison Health, we heard back. A month later we were on our way to Mayo Clinic getting tests performed that my son desperately needed. Edison Health took care of us and helped us through every step along the way. They handled everything – the scheduling of appointments, booked our flights, and reserved our hotel rooms. They covered all the room, food, and travel expenses. They really went the extra mile to make sure we were taken care of. When FedEx was unable to deliver necessary paperwork and other items needed for trip expenses to my home, Edison Health worked out an alternate way to get them sent to our hotel. Once we returned home, Edison Health was quick and made receiving reimbursements simple and easy. Edison Health was essential and because of them, we were able to get the answers about my son’s health that we had been searching for. We could not have been happier! Thank you, Edison Health.
– Employee from Sebastian County, Arkansas