A FUNDAMENTAL SHIFT IN HEALTHCARE COST CONTAINMENT.
Leverage Medicare-based pricing to drive increased savings in your out-of-network cost containment program, or as a replacement to today’s PPO networks.
Medicare-based pricing is becoming the standard in out-of-network reimbursement, PPO replacement plans, and aiding in claim negotiations. Payers, third party administrators, self-insured employers and others managing healthcare claims risk are looking to replace or augment their existing primary and supplemental network programs by using Medicare-based pricing to drive increased plan savings.
Transformative Change
To operate successfully in the healthcare landscape these days plans need significant savings through fundamental change.
Known Quantity
Transparency for both the provider and plan is key. Medicare provides a known quantity that is accepted across the industry and that is superior to proprietary usual and customary solutions.
Reduce Risks
Medicare-based pricing avoids proprietary calculations, financial incentives aimed at maximizing claim reductions, and outdated information.