Direct-To-Provider Health Plans Lowers Health Care Costs

Remember back in the day when health care providers were paid directly, quickly and in cash? Gone were the vast armies of third party intermediaries driving up costs we see today.

Many of our clients have adopted a Direct-To-Provider health plan payment strategy bringing lower administrative costs resulting in immediate savings to plan members, medical caregivers and employer sponsored health plans.

Medical providers are paid efficiently and quickly at the point of service.

An enabling infrastructure for immediate real time transfer of health care dollars avoids the time delay of claim filing reimbursement and eliminates the “value drain” associated with the typical payment process.

Pharmacy benefit managers have long enjoyed point of sale claim payment transactions.  It’s time for plan sponsors to do so too.

The entire healthcare transaction is simplified, transparent, and supported by a service model that effectively frees clinical and financial resources to focus on improving the cost, quality, and efficiency of the care itself.

The result is a better healthcare experience—and outcome—for the consumer, the provider and the payer.

Plan members taking advantage of the Direct-To-Provider health plan option avoid all financial responsibility. The plan savings, which can be significant, more than offsets all patient responsibility. Besides, deductibles and co-pays are silly, accounting for less than 2% of total plan spend, and act as a barrier to needed health care services and treatment.

The Direct-To-Provider program makes sense for employers who are concerned about health care costs.

Healthcare management includes bringing accountability to health care financing while providing improved access to care and higher patient satisfaction. Paramount importance must be placed on fair, equitable and prompt payment to community health care providers without unnecessary and costly interference by third party intermediaries. The Direct-To-Provider plan option satisfies these requirements. We expect higher patient satisfaction, good quality outcomes, and unparalled provider support through these efficiencies.”  – Bill Rusteberg is a specialty company in the benefits market that, while not an insurance company, works directly with health entities, medical providers, and businesses to identify and develop cost effective benefits packages, emphasizing transparency and fairness in direct reimbursement compensation methods.