Services for Long-Term Care Insurers
CareScout has connected thousands of long-term care insurance policyholders to appropriate providers
at reduced rates, while helping reduce the cost of care for families and saving significant time and money for
insurers. CareScout now has an integrated suite of innovative risk
management and sales solutions that help insurers meet their main
goals of managing risk, managing claims, administrative expenses, and improving policyholder
satisfaction.1
"We continue to get rave reviews from Insureds about your service! You make our job easier." -Insurance Company Representative
Risk Management Services
Care Coordination
CareScout's Care Coordination Service is an integrated risk management solution that combines the unprecedented results of a best-in-class Care Advocacy and Discount Program with a highly specialized, individually trained, national network of registered nurses
called the FieldScout® Network.
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Assessments: FieldScouts complete objective assessments on long-term care claimants and produce high quality, accurate summaries providing the information needed to make timely eligibility determinations. |
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Plan of Care Development: By combining specialized nursing resources with proprietary information, CareScout develops a care plan that truly meets the needs of claimants. |
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Ongoing Care Coordination: On a regular basis, FieldScouts review the plan of care and modify it as needed to ensure that the claimant receives appropriate services. As needs change, CareScout can provide access to information on more than 90,000 long-term care providers and CareScout Ratings® and Reports. |
Care Advocacy and Discount Programs
CareScout's Provider Selection & Discount Service connects long-term care insurance policyholders nationwide to appropriate providers at preferred rates.
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Policyholder Peace of Mind: "Care Advocacy Services" can help families get peace of mind by locating and coordinating high-quality, cost effective services. Discounts on care extend benefit dollars and reduce out of pocket expenses by thousands of dollars per year.1 |
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Value to LTCI Carriers: Carriers not only see reduced claims costs, they typically see reduced administrative costs and improved policyholder satisfaction. |
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Nationwide Discount Network: The CareScout Network is an established and rapidly growing national network of thousands of providers including home care agencies, nursing homes, assisted living facilities, and adult day care providers. CareScout has a high success rate in matching qualified individuals with appropriate care providers offering discounted rates. |
Provider Credentialing
CareScout's Provider Credentialing Service provides a customized, real-time solution that helps reduce administrative expense and the timeframe associated with provider approval decisions.
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Provider Data Collection: Customized credentialing forms & processes to fit LTCI carrier requirements based on policy requirements including:
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Certification Information |
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License Type and Status |
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Copy of License for File |
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RN Supervising Care |
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Type of Records Maintained |
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Staff Background Checks Conducted |
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24 Hour Custodial Care for Assisted Living Facilities |
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Tax ID, Address, Phone, Fax |
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Previous Claims Approved | |
Sales Services
Caregiver Support Services
CareScout's Caregiver Support Service is a robust sales solution that provides policyholders with immediate value from their policy. Policyholders, acting as caregivers, can access information and discounts for their family members (including an uninsurable spouse) at the moment the policy is purchased. This online and telephonic information resource and referral system is available as a "Now Benefit" to policyholders and their families and will differentiate you from the competition!
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High Tech - ElderAnswers Website: Drive policyholders to your website as the premier eldercare information destination:
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Enables policyholders acting as caregivers to access more than 500 pages of proprietary eldercare information including CareScout Ratings® and CareScout Reports; and use our SmartMatchSM search engine to find nursing homes in an instant that meet customized search criteria. |
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Co-branded with your company's look and feel | |
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High Touch - Care Advocacy Services: "Care Advocacy Services" provide peace of mind to families by locating and coordinating high-quality, cost effective services. |
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Nationwide Discount Network: CareScout's established and rapidly growing national network of thousands of providers includes home care agencies, nursing homes, assisted living facilities, and adult day care providers. CareScout has a high success rate in matching qualified individuals with appropriate care providers offering discounted rates. |
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Extend Discounts to Family Members: Non-insured family members gain access to the CareScout Network that can result in significant out of pocket savings. |
1Based on CareScout operations data as of 12/31/10
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