ROSE clients also gain access to many valuable provider referrals offering discounted rates.

Specialized Case Management Consulting
Independent case management consultants are available to evaluate and make recommendations on your existing case management programs.

• Sandra Lowery, RN, BSN, CRRN, CCM, is President and Senior Consultant with Consultants in Case Management Intervention (CCMI) Associates, Inc., Francestown, N.H., an independent case management firm. She has consulted with major national clients in the areas of case management planning and operations since 1986. She was the 2000-01 President of the Case Management Society of America (CMSA), and was honored as their Case Manager of the Year in 1995.
• Marlys A. Severson, RN, BSN, CCM, is President and Chief Executive Officer of Specialized Case Management (SCM) Associates, Inc., Cypress, Calif., an independent case management firm. She has more than 15 years of case management experience, has developed internal case management standards of practice as well as specialty case management programs, and is a frequent lecturer. She was named Case Manager of the Year in 1993 by the CSMA, and is past president of that organization.

Disease Management
ROSE Health Services Consultants can assist with disease management efforts whether provided in-house or by an external vendor.

• Assistance with resources to develop in-house disease management programs
• Accordant Health Services provides specialized health management services to thousands of patients with complex chronic conditions, including data analysis, program design and member education services.
• Membership in the Disease Management Consortium and Advisory council at a greatly reduced price.
  The Consortium can assist with outsource buying information and contracting and industry benchmarks. They also have an extensive resource library available to members at no charge.

National Transplant Networks
The ROSE Program gives you access to transplant networks with attractive case rates or discounts.

INTERLINK Health Services

• Network facilities must meet quality and contracting guidelines
• Average savings of 41 percent per transplant (source INTERLINK)
• Quick Reference Guide CDs – transplant specific resource for case managers
• Web-based transplant education

United Resource Networks (U.R.N.)

• Negotiated package rates with leading university and medical centers
• Average savings 40 percent per transplant (source U.R.N.)
• Congenital heart disease network
• Cancer Resource Services
• Specialized Physician Review services

Provider Networks
Experience potential reductions in healthcare claims through national networks of hospitals and other healthcare providers.

• Dedicated PPO network coordinator on staff to assist with obtaining discounted rates
• Provider networks charge a percent of savings fee (if you don’t save, you don’t pay)
• Individual claim negotiation services also available.
• Accessing these network discounts does not limit your insured’s choice of providers

High Cost Drug Discounts

Discounted rates are available for several high cost injectable drugs and blood components.

• Hemophilia clotting factors
• Intravenous immune globulins
• Anti-inhibitor products
• RSV preventive therapies
• MS therapies
• Hepatitis therapies
• Others

Questions about additional ROSE resources and networks should be directed to your ROSE Health Services Consultant.