Sun Life US has named Somatus as a preferred partner to further support the company’s strategy to increase access to care while managing rising costs. Through this partnership, Somatus will provide a unique, coordinated model of care for Sun Life stop-loss policyholders suffering from advanced kidney failure and heart disease, two of the most common conditions seen in the world. Sun Life annual report on high-cost claims. Sun Life’s solutions, Kidney Care 360 and Cardiac Care 360, address two different patient populations and utilize a unique care management approach that will be an extension of Sun Life’s Clinical 360 program.
The Clinical 360 program combines data analysis and clinical expertise to improve patient care and outcomes while reducing costs. Clinical 360 will work with Sun Life customers to identify plan members who will benefit most from working with Somatus’ multidisciplinary care team to develop a personalized care plan based on the plan member’s needs and preferences, including home care. Somatus emphasizes the overall care of the person in the context of chronic kidney failure and congestive heart failure.
Somatus’ innovative and comprehensive care model leverages AI-driven technology to meet patient care needs related to medication management, care coordination, nutritional support and patient support. care transitions that enable patients to take an active role in their health. By providing comprehensive, expert teams for patients with these conditions, Somatus works with patients’ existing providers to act as an extension of their care plan and promote greater access to healthcare, helping to ensure all aspects of care are coordinated and optimized to improve patient health. Access to Somatus services will be offered at no additional cost to Sun Life stop-loss clients.
Sun Life, the nation’s largest independent provider of stop-loss insurance, protects self-funded employers when their employees file claims for high medical expenses. According to the Kaiser Family Foundation, an independent source of health policy research, 65% of U.S. employees currently participate in a self-funded plan.