Administrator, Mayo Clinic Complex Care Program
Elizabeth Rice is the Administrator for the Mayo Clinic Complex Care Program, a customizable Centers of Excellence Offering for employers that helps individuals with complex and serious health conditions access Mayo Clinic’s high-quality, cost-effective care. With more than 15 years of experience at Mayo Clinic, Elizabeth is responsible for the program’s business plan and performance, partnering with internal stakeholders, and leading the team to advance strategic external relationships. Prior to this role, Elizabeth was the director of channel marketing for Mayo Clinic and had responsibility for improving brand performance and generating patient demand. She also led the launch of Mayo Clinic’s first-ever national advertising campaign. Elizabeth has a bachelor's degree from Drake University and an MBA from Augsburg College. Elizabeth and her husband reside just outside Rochester, Minn., and when she’s not working, she is usually driving to and from sports practices and games for their three children.
Flexibility and patience.
Building a strategy for complex care. Ensuring members are not delaying necessary care/treatment.
Based upon record reviews for more than 1,000 patients across multiple employer groups who were referred into the Mayo Clinic Complex Care Program in the past 5 years, nearly half (49%) had a chance to their diagnosis – either a clarification, addition, or complete change. We’ve even seen several patients with the most common cancer types who did NOT have cancer. Additionally, 80% of the patients reviewed had a change made to their treatment plan – this could mean a complete change, adding additional therapies, or offering options that weren’t available locally like proton beam therapy, CAR-T, or preemptive kidney transplants. For employers with a mandatory spine benefit through Mayo Clinic, we typically see more than 50% of patients who were recommended for surgery locally, do not need surgery. Based on our experience, an employer with 100K covered lives, could experience $2-$5M in annual cost savings from spine surgical avoidance alone.
Expanding the reach of the Mayo Clinic Complex Care Program.
Due to the current state of emergency, Mayo Clinic has had the ability to perform virtual care via video visits with subspecialized experts across state lines. As the executive order expires, we are considering how to continue to provide virtual care with the expansion of state licensure and/or via eReviews (medical record reviews with a travel recommendation).
2020 brought to light the importance of health and health care in every aspect of our lives, as well as the need to seek cost-effective solutions that impact the bottom line. Keeping this focus, employers should seek sustainable ways to manage and control health care costs, including getting the right diagnosis and care plan at the right time and increasing the value of their benefits package.