Several of our agents are using this as a marketing opportunity to open new doors. In fact according to Eric Hirschler, at USI Southwest Brokers, “The doors that were previously closed. I have added two new clients in excess of 2,000 lives to my portfolio as a result of the Cost Plus program. Bottom line is that employers are fed up with the status quo and are looking for creative cost saving ideas.” We are hearing more and more positive feed back like Eric’s story, and in conjunction with the present political climate, the CPO program is just what employers are looking for. program has given me and my firm a significant advantage in opening prospective CPO
To avoid having to fight the PPO contact in place for the hospitals and surgery centers, GPA is now working with a physician only PPO, that is a national PPO and is a perfect match with the other PPO’s our clients are currently using. For hospitals and outpatient surgical centers, the employees get to pick any of these providers in the United States because we will audit every single claim using the cost + method. I am not aware of any PPO’s that can say they have 100% of all hospitals and in America , but our cost plus option can.
Stay tuned for more positive results and we hope GPA can help you successfully write new business and maintain your current block. For any questions please contact Matt McCuen at or Jeff McPeters at 972 744-2447.
Editor’s Note: We have placed two groups with GPA using the cost plus strategy. One is Bill Miller Bar B Q and the other is San Patricio County, a political subdivision near Corpus Christi. Both groups have experienced significant cost reductions using this approach. To our knowledge, San Patricio County is the only political subdivision in Texas to implement this scheme.
We are in disagreement, to some extent, on using a physician only PPO since we have found that physicians prefer to work directly with the client rather than through a middle party, i.e, a PPO vendor. And, we have empirical data on the two groups mentioned above that 115% of RBRVS reduces overall provider claims by about 20% over the PPO discounts.