“Cost Plus is a Real Plus – The industry at large is now contemplating new pricing methodologies, whereby the benefit plan identifies a fixed rate upon which it bases what it deems to be a fair market value. The benchmark can be based upon some percentage of Medicare, or any other number of parameters. ”
Continue reading Is There A Place For PPO Networks In Today’s Benefit Market Place?
….”Many Plan Sponsors view the lack of transparency within PPO contract(s) as a hindrance to Plan management.” …….”Respectfully, I would suggest that Mr. Page’s Memo is a step backward and an attempt to preserve a delivery model that was not effective in the past and won’t be in the future. ” – Steve Kelly
| CT and CTA with Contrast Composite | Average Charge | Average Cost | Average Medicare |
| Mercy – Anderson Hospital Cincinnati, OH | $1,680.00 | $167.00 | $598.00 |
| TriHealth – Good Samaritan Hospital Cincinnati, OH | $1,283.00 | $205.00 | $595.00 |
| St. Elizabeth Health Center – Youngstown, OH | $1,753.00 | $179.00 | $571.00 |
| Source: American Hospital Directory | |||
