We are hearing more about non-managed care approaches to reigning in health care costs. This is a hot topic these days among insurance brokers and consultants. Now we learn that Stratose, formerly known as Coalition America, is pushing Medicare based benchmarking for payment of medical claims. (www.stratose.com )
They recently announced they have entered into an agreement with First Health.
The movement is spreading fast. In the past year we have identified numerous entities entering the non-managed care arena, either on the auditing, repricing and legal indemnification side, or in combination of two or all three elements.
As we see it, Group & Pension Administrators (GPA) started this payer revolt against PPO networks with the introduction of their Cost Plus program over 4 years ago. (Bill Miller Forbes) GPA’s competitors have taken note, and employers are paying attention.
http://www.stratose.com/documents/Medicare%20Pricing%20Solutions%20FINAL.pdf
