Patient Services Incorporated

PSI is a 501(c)(3) non-profit, charitable organization. For nearly two decades, PSI has helped people who live with certain expensive chronic illnesses or conditions remain insured and subsidize the cost of health insurance premiums associated with COBRA’s, State High Risk Pools, Open enrollment, and Guaranteed Issue policies. PSI also is the “ground breaking” organization, which lead the way in legally providing prescription co-payments associated with Medicare Parts B and D. PSI initiated public/private partnerships with States in developing cost-avoidance programs specifically in transitioning Medicaid beneficiaries into the private insurance market. PSI operates with a positive opinion rendered by the U.S. Office of the Inspector General (02-01).

Situation

The greatest challenge in the healthcare system that PSI transforms is the skyrocketing costs of Medicaid whereby patients with expensive chronic illnesses are utilizing these benefits. PSI’s innovative programs provide a cost saving model for these challenges without compromising healthcare.

Solution

PSI works to help families avoid utilizing Medicaid, by triaging these families into identified health insurance mechanisms for those with medical histories. PSI then helps the family afford the premiums associated with these policies. This program has allowed states to experience millions of dollars of cost avoidance.

PSI offers programs for 28 different expensive chronic illnesses and has helped over 30,000 Americans obtain and maintain health insurance, access their treatments, and avoid utilizing public assistance programs.

PSI works with states to provide innovative comprehensive healthcare to people who are either underinsured or uninsured, thus avoiding enrollment in Medicaid. In providing these programs, PSI has saved state resources. PSI has cost avoidance partnerships with Virginia and Kentucky and is developing initiatives with other states. These programs have positively impacted the health budgets of the states. Virginia has granted approximately $1 million and experienced a cost avoidance of $18million since 1996. Kentucky has granted just under $1 million and experienced a cost avoidance of $9 million since 2000. PSI has just entered a contract with Tennessee’s new “COVER TN” initiative. This program will provide a means to cover the underinsured and uninsured, resulting is millions of dollars of cost avoidance while offering comprehensive healthcare to its citizens.

Better Health & Lower Cost

PSI’s innovated state partnerships have transitioned persons with expensive chronic illnesses off of Children with Special Healthcare Needs programs where the state has been paying prescription costs. The transitions made into private insurance markets have not forfeited comprehensive healthcare or become a tax burden to the taxpayers. The result of these programs have been: 1. Accessing affordable health coverage for the underinsured and uninsured at minimal cost to the government; 2. Providing comprehensive healthcare to Americans, thus keeping Americans “at work”, and 3. Saving states and public assistance programs millions of dollars for miniscule costs.