02:45
ClaimDOC is the gold standard reference-based pricing solution for employers looking to adequately protect plan assets, support employees with dedicated Member Advocacy, and save 20-30% year one.
Transcript:
What is ClaimDOC?
Yeah, so ClaimDOC is a reference-based pricing organization. We partner with self-funded clients to emphasize access to provider care. We audit all claims over $2,000, and we're also in the business of building long-term partnerships with our provider partners. So if you look at our footprint by the numbers here, we process claims in all 50 states. We've processed 1...
Posted January 23, 2025
02:51
US Beacon finds ineligible charges in 99% of medical claims we review. Our mission is rooted in a belief that ethical billing practices are essential to fostering trust and delivering quality care.
Transcription:
What is US Beacon?
US Beacon is a medical cost containment company that specializes in reducing medical bills by 30 to 40 percent for in-network, and 70 percent for out-of-network. US Beacon has been reviewing and negotiating bills since 1995. Many plans don't understand they are overpaying for their health care. Premiums don't need to keep increasing to cover the high cost of m...
Posted July 31, 2024
02:01
Alef Health: Pioneering savings in healthcare. Our holistic methods benefit a wide range of partners, cutting costs effectively.
Transcription:
What is Alef Health?
Alef Health is the one-stop cost containment solution in the self-funded insurance space that specializes in reducing expenses without compromising the quality of care that a patient receives. We specialize in out-of-network negotiations, claims integrity, subrogation, overpayment recovery, medical management, and much more. Our out-of-network negotiations team works with out-of-network providers to ensure successful negotiat...
Posted June 25, 2024
02:24
aequum protects plan participants against unreasonable out-of-network charges and balance billings by medical providers and unfair collection practices.
Transcription:
What is aequum?
Aequum means, what is fair or just, and our mission is to level the playing field in medical billing, shifting back power to health plans and their participants. Specifically, we provide advocacy services to self-funded health plans and their plan participants, including legal defense of medical billing claims through a partnership with a national law firm. We combine those advocacy services with our propri...
Posted April 5, 2024
02:05
HST is the nation’s largest VDHP vendor focusing on fair reimbursements and creative strategies to reduce medical facility spend by up to 35%
Transcription:
What is HST, A MultiPlan Company?
Thank you. HST is the largest reference-based pricing company in the nation. We call it value-driven health plans. Our unique process focuses on creating fair market pricing and convenience for both employers and employee patients, as well as creating equitable payments to facilities. We are owned by MultiPlan, and we represent over 1.2 million reference-based pricing members. We have a 99% average a...
Posted January 8, 2024
02:35
We are a TPA, repricer and Stop Loss insurance company all in one offering the only comprehensive RBP solution on the market.
Transcription:
What is Homestead Smart Health Plans?
We are a third-party administrator, a claim repricer, and a stop-loss insurance company all in one.
How is Homestead Smart Health Plans different?
I think five things make us different, and that's the integration of the three components that I mentioned earlier. When there are fewer cracks for things to fall through, fewer things fall through the cracks. Two, I'd say we're a co-fiduciary. Plan sponsors are now...
Posted October 6, 2023
02:39
Reference Based Pricing and Payment Integrity
Transcription:
What is 6 Degrees Health?
Thanks, Chris. 6 Degrees Health is a cost containment company with a mission to help employers and health plans take back control of their medical claim costs. This is accomplished through a combination of clinical review and structured provider payments tied to objective benchmarks like provider costs and Medicare reimbursement. With 6 Degrees' transparency data, employers are realizing that the status quo, traditional networks are binding them to contracts that permit unreasonable provider billing pr...
Posted June 16, 2023
01:49
Payer Compass is one of the healthcare industry’s premier innovators in cost control.
Transcription:
What is Payer Compass?
Hi Chris, thanks for having me. Payer Compass is a cost containment company. It's no surprise to anybody watching this video today that healthcare costs are out of control. That affects our shareholder value. That increases the cost for employees and its the second highest cost for employers. So what we're doing today is unsustainable. Payer Compass answers the call to provide free market solutions to our customers and dramatically reduce the cost of healthcare toda...
Posted November 21, 2022
