Although medical conditions requiring a transplant are rare, these situations have a dramatic impact on both the patients and insurer. The average cost for a "typical" transplant and related care is over $250,000; certain transplant situations can drive health plan costs more than $1 million. In addition to the actual claim’s costs, managing these cases can be extremely time-consuming, confusing and difficult for both the patient and health plan.

With ACM, you get both the experience and personnel to provide complete assistance in meeting these transplant related challenges.

ACM has contracted with four nationally recognized transplant networks, allowing you and your members access to multiple contracts assuring the best possible rates while accessing the best transplant facilities in the United States. You will also have the ability to utilize the vast experience of ACM’s Transplant Case Management Team, which has many years of transplant experience and a commitment to continuing education.

When ACM coordinates your transplant cases, you receive:

• Full access to four distinct transplant networks
• A full financial and medical analysis and comparison of applicable transplant contracts
• Identification and presentation of two most favorable agreements and delegation to client for selection of which contract to be accessed
• Full coordination of case placement with selected network

Optional Transplant Services:

• Full case management by ACM nursing staff assuring maximization of health care benefits while containing costs
• Review of transplant for medical necessity
• Receipt of all claims (from network) to review for accurate contract pricing and duplication of charges/items

The Bottom Line

When utilizing ACM for your transplant coordination needs, you have full access to four of the nations largest and most cost effective transplant networks and ACM’s Transplant Coordination Team providing complete assistance to the patient and the health plan in meeting transplant related challenges.