Sleep Management Solutions will manage sleep diagnostic and therapy management services to Neighborhood Health Plan’s 240,000 members throughout Massachusetts.
Neighborhood Health Plan (NHP) and Sleep Management Solutions LLC (SMS), a CareCentrix company, have established a partnership aimed at helping the rising number of people impacted by sleep issues. As of May 1, 2012, SMS will manage sleep diagnostic and therapy management services to NHP’s members.
SMS will provide utilization and network management services of sleep services delivered, while providing diagnostic testing for NHP members. Through this partnership, SMS will use a local network of sleep providers to provide home sleep testing (HST) technology to NHP’s members who are appropriate candidates for HST.
According to information from Sleep Management Solutions, the program uses industry standards and evidence-based criteria to assess the appropriate site of service for approved diagnostic requests. When a home sleep test is not appropriate, members can conduct their sleep study at a sleep facility within NHP’s contracted network.
To address CPAP compliance issues, SMS enrolls all members who are prescribed sleep therapy into the iComply Therapy Adherence Program. iComply supports patients as they adjust to sleep therapy and has been shown to increase therapy use. SMS has also built a network of sleep therapy providers who will assist with the initial home setup of sleep therapy for NHP members diagnosed with obstructive or central sleep apnea.
"NHP shares our vision to provide patients with diagnostic and therapeutic health care services in the most cost-effective site of service," said Tom Gaffney, president of SMS. "Our network is committed to offering the comfort, reliability, and lower costs of home-based sleep testing to NHP members. SMS is pleased to welcome NHP as the latest addition to our growing list of clients."
