AMPS

AMPS_Blue111“Over the last 3 years, AMPS average reimbursement level on hospital claims has averaged 156% of Medicare or approximately 37% less than PPO reimbursement levels. For every 1,000 employees on an employers’ health plan, this 37% decrease in cost equates to approximately $2,550,000 in savings.” 

Translation: Average PPO hospital payment is 248% of Medicare while AMPS average reimbursement level is 156% of Medicare.

confusedWhy would a plan sponsor want to pay 160% more on their hospital spend through a typical PPO network?

Reference Based Pricing strategies are gaining market share because (1) Plan sponsors are just about out of money and (2) Transparent, fair and equitable payment to medical care givers makes sense. Paying for health care through managed care contracts you can’t see nor audit makes no sense at all………………………………………………………………

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………………………except for hospitals and their managed care partners.

Since 2005 Advanced Medical Pricing Solutions (AMPS) has worked to provide premium healthcare cost management services to the self-funded payer community.

Rather than offering the status quo of traditional PPOs that provide discounts that are often minimal compared to the rising cost of services, AMPS utilizes experienced physicians and potent technology to drive dramatic savings on medical bills.

Results average 20-30% deeper savings over that of most PPOs. And just as critical, AMPS stands behind plan savings with proactive Patient Advocacy and legal support.

http://advancedpricing.com

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