Probably the most frequent question that potential clients ask our staff here at Pathfinders is why our services are so expensive and why they’re not covered by insurance.
We believe, along with our clients, that insurance should cover the cost of patient advocates, patient navigators, care coordinators, and financial organizers. We think that the insurance industry is most definitely on the wrong side on this one. It’s obvious to anyone who has had experience with a medical diagnosis that much of the cost of coping with a medical challenge happens outside of the medical center, resulting in additional expenses on top of the ones already accrued there. And we also believe that, with more research leading to better evidence about improved outcomes, the insurance companies will come to understand this and eventually cover our services. In the meantime, our challenge is to offer our clients the right services, ones that have the potential to pay for themselves in the long run.
Here’s the good news: many of the solutions that we offer will reduce one’s overall cost in the long run. For example, our hospital-to-home transition program will help to ensure that once someone is discharged from a medical setting, they are able to remain at home, reducing the cost of readmission. Another example is our visit preparation service; having a nurse accompany the patient to the medical visit ensures that questions and concerns will be addressed appropriately, reducing the need for more visits. Finally, our decision support service decreases the likelihood that patients will need to continually search for medical providers and new services. Once patients are comfortable with their treatment choices, they can focus on the treatment itself.
Of course, the bottom line is that some of our services will end up costing our clients. Ultimately, there’s no way around that. We’re convinced, however, that what we offer is of great value: knowing you did all you could to deal with your medical crisis is worth a lot, and there’s a whole lot of value in being able to look back and feel at peace.