SUMMER 2005
IN THIS ISSUE

    TRANSPLANT RISK
    UP CLOSE
    TRANSPLANT TECHNOLOGIES
    MEDICARE ADVANTAGE
    NEWS YOU CAN USE

 
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Organ Transplants: 50 Years of Medical Innovation

The first successful organ transplant, a kidney transplantation, took place in 1954, from one identical twin to the other at Peter Bent Brigham Hospital in Boston. Fifty years later, the science of transplantation has advanced tremendously. Today, in addition to related living donors, patients routinely receive organs from unrelated donors as well as cadavers.

In 2003, 25,458 solid organ transplants were performed. In addition, more than 12,000 unrelated donor stem cell transplants were registered (these are not included in the solid organ category). The number of transplants performed continues to rise. Advanced surgical procedures, better organ preservation procedures, new immunosuppressant drugs and improved post-transplant care are enabling more types of transplants to be performed and lengthening the life of recipients.

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Managing Transplant Risk: Options for Specialized Coverage


Since the inception of managed transplant insurance, we have seen many clients benefit greatly by “carving-out” and eliminating their financial risks associated with the growing number of transplants. By doing so, they have not only converted this unpredictable and potentially catastrophic risk to a flat monthly cost, but are also providing the best possible care for their members. As Elizabeth Dixon, RN, PhD, points out in her recap of medical innovation in this area, “successful transplantation requires a lifetime of medical care”.

From 100% carve-out, first dollar coverage to a variety of risk sharing options and program refinements, managed transplant insurance can be tailored to individual needs. Some of the key elements include access to the most qualified transplant providers in the country, caring nurse advocates to guide patients through transplant episodes of care, including pharmaceutical needs and outpatient services, claims coordinators to provide accurate adjudication of claims and customer service programs ensuring quality control.

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Evergreen Rx Becomes AHIP Solutions Partner
Firm Delivers Cost-Savings Through Unique PBM Management

Evergreen Rx, the pharmacy consulting practice of Evergreen Re Incorporated, has become an America’s Health Insurance Plans’ (AHIP) Solutions Partner. As an AHIP Solutions Partner, Evergreen Rx will participate in a strategic marketing alliance with the national association which represents 1,300 health plans and insurers, providing health insurance coverage to more than 200 million Americans.

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