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Crescent
Health Solutions is a regional provider-sponsored
healthcare company offering a wide range of employee health plan service to self-funded employers, mainly in the sixteen counties
of Western North Carolina.
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Not-for-profit, taxable company.
- Membership
company governed by a Board of Trustees made up of ten practicing
physicians, five hospital representatives and three employer representatives.
- Messenger
model process offers employers, Third Party Administrators, and
other third-party organizations opportunity to submit a fee schedule
through Crescent to more than 2600 physicians, 15 hospitals and
a variety of ancillary services. This process allows Crescent
to build a network suitable and acceptable to employers' specific
needs.
- Service
Area: Sixteen counties in Western North Carolina that begin at
Mitchell, McDowell and Rutherford, moving west to the Tennessee
border.
The
most effective method for the provision of healthcare requires a
collaborative philosophy.
Crescent was
formed in 1999 by a group of providers, representing both physicians
and hospitals, who were driven by the belief that the most effective
method for the provision of healthcare is a collaborative philosophy
involving not only the traditional health providers - but also the
patient, the employer and the community.
These providers
share the belief that the way to add value for our customers is
to utilize physician members as the leaders of regional, community-based
chronic disease management, supported not only in the providers'
offices and hospitals of the region, but through employee education,
employer-sponsored wellness events, and regional and national bench
marking.
Products
& Services
The following
products and services are available to assist employers and employees
to develop healthier life-styles.
- Preferred
Provider Network - 2600+ physicians, 15 hospitals, ancillary providers
- In-house claims processing and repricing
- Comprehensive health benefit administration
- Health plan management reporting and data analysis
- Comprehensive Health Management, including personal and individualized case management, disease management, precertification, utilization review, data reviewe and analysis
- Pharmacy
Benefit Management
- Health Risk Assessments (HRA's) using KYN technology
- Wellness guidance/support
Benefits
to Employers
- No access
fees
- Superb locally-based customer
service
- Management of healthcare costs
- One contract
for all health plan services
- Excellent
provider coverage over 16 county region of Western North Carolina
- Claims data reporting and analysis
Our
Vision
To be Western North Carolina’s leading resource
for network services and innovative health management
Our
Mission
Crescent is committed to adding value through:
- Facilitating long-term relationships among providers, employers and employees
- Fostering collaboration regarding health management programs
- Promoting healthy lifestyles
- Ensuring appropriate access to the healthcare delivery system
- Managing healthcare costs
Our
Staff
Amie Owens,
Executive Assistant Ext. 102
Ann Ledbetter, TPA Administrative Assistant Ext. 128
Cindy Beaver, TPA Claims Manager Ext. 117
Deana Gardner, Provider Relations Manager Ext. 110
Delane Stiles, Client Services Coordinator Ext. 107
Elizabeth Onkka-Holstein, Health Management Cust. Svc. Ext.120
Georgia Sasscer, VP TPA Services Ext. 129
Harriett Pickard, Admin Assistant/Office Specialist Ext. 100
Jackie Dula, Admin. Director of Health Management Ext.121
Jan Plummer, Client Services Representative Ext.101
Karen Kennedy, UR Nurse Ext. 122
Linda Moore, Health Management Assistant Ext. 108
Maeve Ybanez, TPA Administrative Manager Ext. 105
Michelle Rumfelt, Pharmacy Benefits Coordinator Ext. 106
Pat Hensley, VP Client Services Ext. 109
Sandra Price, Credentialing Coordinator Ext. 124
Sherrie Byrd, Disease Management Nurse Ext. 116
Steve Harris, Director of Business Development Ext. 103
Jennifer Hodge, RN, Case Manager Ext. 118
Myrna Harris, CEO Ext. 112
Jennifer Moore, COO Ext. 104
Tara Pressley, CFO Ext. 111
J. Paul Martin, MD, CMO Ext.113
Pre-Certification
Ext. 115
Case Management Fax: 828-670-9159
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