Care Advocates was formed to assist with the continuum of care for group health plan participants. Care Advocates will interact more closely with the provider community to ensure the proper care in the proper setting for the proper length of time. This will help ensure that plan participants receive the care they deserve while getting to return to the comfort of their homes as soon as they are able to do so.
By being involved sooner in the pre-certification process, Care Advocates will have the opportunity to assist in the development and management of care plans through active case management. In doing so, we expect that sponsoring employers will be able to realize greater savings with this approach than with the traditional utilization review approach.