Day: July 7, 2009

If you are an employer looking for ways to control your ever increasing health care costs. you might want to create your own PPO network and fee schedule. Building a network is easy to do (we have built numerous regional networks for several years) – and creating a fee schedule is easy too. While we are not recommending or suggesting you employ this firm – http://www.pfss.com/ – it will give you some idea of how easy and inexpensive it is to do.

Are you paying a monthly rental fee for your PPO network? Many self-funded plans do, paying on average $4 per employee per month. However, the PPO receives additional fees that are not disclosed to you, the employer. And these fees are paid by you in the form of higher claim amounts. We think that you would save money paying cash to providers rather than rely on a secretive PPO contract which you are prohibited from seeing. http://www.plexisweb.com/resources/white_papers/ppo-repricing.pdf

Here is a dental PPO fee schedule found on the internet for all to see – http://www.macombcountymi.gov/discountdental/pdfs/CI-5.pdf

If only we could access the same information on medical insurance PPO fee schedules. The problem is that PPO’s won’t provide you with the information citing confidentiality agreements. Yet they continue to tout thier discounts as the best, better than any other competing PPO. “Trust me, my discounts are at least 20% better than anyone elses out there.”

This is a well written article predicting the demise of PPO programs – http://www.libertyhealthgroup.com/images/61495/PPOs.pdf