What We Do

Solving the conundrum of inefficient and ineffective healthcare

Background

Ecosystem Development

We are building the necessary ecosystem that enables large employers and State Medicaid programs to transition away from the death spiral of ineffective and expensive healthcare services.

DoD Contract

In Q3 2016 Nura was awarded a multi-year, multi-million contract from the DoD to synthesize Platform components, develop its analytical engine and satisfy unique DoD requirements.

The Solution

Solving the conundrum of inefficient and ineffective healthcare takes more than just strong business acumen. It requires expertise in the natural sciences, clinical medicine, IT, finance, systems thinking and informatics, all of which is embodied in Nura's leadership and brain trust.

What is a Demonstration Project?

In a Demonstration Project, NuraHealth works with the cohort of patients who suffer from multiple chronic diseases. These patients represent 5% of any large population but account for 50% of the total healthcare expenditures. NuraHealth will reduce an employer's (or State’s) healthcare benefit costs for this 5% cohort by a durable ~35%. The Net Present Value (NPV) of these results will dramatically reduce long term liabilities that now strangle the fiscal health of local and state governments.

For example, a Demonstration project for an employer with 30,000 employees is a discreet, well-contained manageable exercise. Within such an employer 1,500 people are part of the 5% cohort. If 300 of those 1,500 volunteer to participate in an IM-centric Demonstration project, we will need only six clinicians to provide patient care.

Once patient care rollout begins, it will take approximately four months for all 300 volunteers to begin their IM care regimen. This means that at the start of a demo, only six clinics have to adopt our technology Platform. Initially, the planning for all Demonstration project activities is expected to take ~8 months.

A Demonstration project cannot be characterized as "boiling the ocean." In fact, relative to its impact, this is a manageable exercise that is highly scalable within a single employer or government entity.

Once established within a community, the Nura ecosystem will spread geographically, drawing in the brightest talent in healthcare services, while bringing the latest innovations to the region, freeing up precious capital and furthering economic stimulus. The end result: A healthier community in all aspects.

"In one sense a Nura Demonstration Project will seek to replicate the results of similar projects that have come before."

See The Pilot Program Results

Why Integrative Medicine?

Integrative Medicine (IM) practitioners have been champions of cost-effective patient care for decades. Typically, they operate their clinics without standard Medicare or insurance reimbursement mechanisms in place and patients are charged directly for all care services. Like any other business, if the service being offered (healthcare) is known by patients to be ineffective, this clinic would not survive for long. Peer-reviewed research, along with health statistics from 50+ academic centers and privately owned clinics validates the efficacy of an IM-centric approach to care, particularly for the treatment of chronic disease.

Pilot Program Results

Cleveland Clinic

Cleveland Clinic's Functional Medicine clinic realized a 35%-40% savings from a historical baseline when treating multiple morbidity patients. [1]

Rhode Island Medicaid Pilot

Rhode Island's pilot program treated chronic pain patients labeled as "high-risk users" through an integrative approach and realized an average savings of 27% in total medical costs, 61% decrease in ER visits and an 86% decrease in number of opioid scripts. [2]

Florida Medicaid Pilot

Florida Medicaid Integrative Therapies Pilot Project reported improved mental and physical function for the chronic pain population following an holistic approach to care, as well as a 25% decrease in total cost of care. [3]

The Whole is Greater than the Sum of its Parts

The IM discipline takes a "systems engineering" approach to patient care. While going by different names, all disciplines within the IM framework fall under the term "holistic," meaning they look at health and disease as a reflection of the operational integrity of a complex system of systems no matter the discipline. IM practitioners always seek to identify and treat the root cause of disease, rather than to merely mitigate its symptoms.

In practical terms, IM-centric care makes use of a larger clinical "toolbox." In addition to the two tools of conventional care—drugs and surgery—it also includes nutritional biochemistry, biophysical therapies, de-stressing strategies and various soft tissue therapeutic modalities. Despite broad patient acceptance and demand for many IM therapies, most IM protocols are not reimbursable by Medicare or private insurers. This is because there are very few procedure codes to document their use, pay for their delivery or assess their clinical utility for any given diagnosis.

Government entities and approximately 99% of all Fortune 3000 companies self-fund (a.k.a. self-insure) their healthcare benefit programs. Historically, employers looking to contain out of control healthcare costs have looked to their benefit plan administrators and/or consultants to provide cost-saving solutions. Such solutions relied upon cost-shifting tactics, such as raising employee deductibles and co-pays. Economically speaking, shifting the cost burden to employees (or to the government) fails to solve the fundamental problem of inefficient and ineffective healthcare services. In addition, Productivity is not improved through implementation of cost shifting strategies.

NuraHealth's model is different. Efficiency cannot be driven into healthcare capital allocation based on cost shifting. Creating a value (price/performance) curve begins with identifying treatments that improve patient outcomes and then contrasting those with conventional care methods. Wellness programs are not typically designed for those with multiple morbidities under the care of numerous specialists. In that regard they are not direct competition for NuraHealth's operations.