More employers are realizing cash paid medical claims reduce plan costs 50% and more over “discounted” managed care pricing. More TPAs like Kempton are joining the Cash Pay Health Plan movement with good success.
SAVE MONEY WITH A CASH PRICE AGREEMENT!
Talk to your provider about matching the KPPFree™ price so they can be reimbursed at 100% and you will have no out-of-pocket cost!*
KPPFree™ is a program that encourages self-funded employers to work directly with medical providers who believe in charging a fair price for high quality care.
Under KPPFree™, you can receive high quality care at an enhanced benefit, often with no out-of-pocket cost.* To encourage you to use this benefit, reasonable travel expenses are included.
Providers who are part of KPPFree™ are paid quickly, often at 100%.* They are reimbursed from a simple invoice rather than filing a claim through the PPO network.
A KPPFree Cash Price Agreement enables participants to get the same enhanced KPPFree™ benefit with the medical provider they choose.
If your provider agrees to match, or closely approximate, the bundled price of a current KPPFree™ provider for a particular service or procedure, it can be covered under the KPPFree™ benefit.
All services required for the service or procedure are bundled under KPPFree™. These same services must also be included in the Cash Price Agreement.
Seems like a lot of TPAs are doing this these days. It’s not rocket science. It’s better than Reference Based Pricing schemes and all the disruption that brings. Everyone wins – The plan, plan members and the provider community. Why employers continue to cling to carrier promoted fake PPO discounts never ceases to amaze me. That’s just plain stupid.
Giving Employees A Choice Between Not-So-Free Care and………FREE CARE
A stand alone benefit option that can be added to any plan giving members a choice between free health care or not so free health care at the point of service.
MEDSAVE MANAGEMENT LLC provides a health care plan option members may choose when seeking medical care. This plan option can be added to any plan without disrupting current TPA/Broker relationships.
All patient financial responsibility for covered medical expenses is waived each time a member requests and accepts plan assistance in selecting high quality medical providers and services.
Surprise medical bills and subsequent balance billing issues, which are increasingly common among traditional health insurance plans, are eliminated when this option is selected by members. Medical providers are paid promptly, in full, by the plan sponsor at the time of service.
This program is designed for self-funded health plans interested in achieving additional plan savings while improving benefits at the same time without disrupting their current TPA/broker relationships. This stand alone benefit option gives members a choice between free health care or not so free health care at the point of service.
Members who choose not to use this new plan option will continue of enjoy the same benefits they have through their existing employer health plan.
Advantages to Plan Members
- All financial barriers to health care are eliminated
- Improved patient experience
- Never a balance bill
- Concierge service sets appointments, identifies high quality providers
Advantage to Plan
- Savings up to 50% and more
- Reduces retail claim dollars to wholesale cash price claim dollars
- No additional cost to the plan, current funding does not increase
- Provides plan members more choice and the freedom to choose
Advantage to Community Health Care Providers
- Payment in full at the time of service
- No chasing of patient financial responsibility
- No claims to file
- Elimination of third party intermediaries – restores patient / physician relationship
Members decide between Free Care vs Not-So-Free Care at the Point of Service
How It Works
Member is issued a MEDSAVE FREE CARE CARD. Prior to seeking health care services the member calls the toll free number listed on FREE CARD to determine if FREE CARE service benefits are available for their immediate health care needs. Examples include MRI’s, surgical procedures, pregnancy, and other medical services. Medical appointments and related services are coordinated on behalf of the member with appointments set at the member’s convenience. At the point of service the member pays nothing and receives the care they need.
SPECIAL MESSAGE FOR SELF-FUNDED BUCA PLANS
BUCA self-funded plans maintain a money pot to pay claims as they occur. Monies leaving the pot are paid in BUCA Bucks.
BUCA Bucks have low purchasing power. Transaction fees of all sorts are charged by third party intermediaries as BUCA Bucks begin their journey to provider bank accounts. Not all of them make it there in a process that often takes weeks and months.
MedSave Bucks have more purchasing power. Low transaction fees make purveyors of BUCA Bucks blush with envy. Third party intermediaries are eliminated. MedSave Bucks, every one of them, journey directly to provider bank accounts in a process that takes 24 hours or less, not weeks and months.
MedSave Bucks are not comingled with People Bucks. Gone are deductibles, co-insurance and copays. MedSave Bucks have a 2-1 advantage in purchasing power over BUCA Bucks.
RiskManagers.us 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.
