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Скачать или смотреть See How Health Plans with Reference-based Pricing Protect Members from Healthcare Overcharges

  • Imagine360
  • 2022-03-07
  • 4178
See How Health Plans with Reference-based Pricing Protect Members from Healthcare Overcharges
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Описание к видео See How Health Plans with Reference-based Pricing Protect Members from Healthcare Overcharges

Healthcare costs in the U.S. are skyrocketing, and companies and their employees are paying the price. What's the reason behind rising health insurance costs? The answer can be found in the unfair way that some healthcare providers price their services and then pass on those inflated costs to health plan members. This video shows a side-by-side comparison of a typical consumer's healthcare experience — first with a traditional health insurance plan, and then with a self-funded health plan backed by the price protection and transparency of reference-based pricing. Spoiler alert: The health plan with reference-based pricing lowers costs by up to 30% and surrounds members with support when they need it most.

Watch the video and then learn how Imagine360 can help you protect employees from high costs, surround them with 360-degree support and lower healthcare spend by 20-30%: https://www.imagine360.com/your-healt...

Learn how you can take control of your health insurance strategy by self-funding your company's health plan and adding innovative solutions like reference-based pricing:
About Self-Funded Health Plans: https://www.imagine360.com/employer-s... -
About Reference Based Pricing: https://www.imagine360.com/understand...

Your health plan can do better. We promise.

Imagine360 was created to empower companies to take control of rising healthcare costs. With Imagine360's solutions, employers benefit from flexibility, service and support while employees receive high-quality care at a fair price. Learn more about self-funded health plan solutions and reference-based pricing: https://www.imagine360.com/

Video transcript:
If you're like many companies, you may be frustrated with your current PPO plan. Healthcare costs are skyrocketing, deductibles and out-of-pocket costs are on the rise. Providers are charging outrageous amounts and no one is looking out for you or your employees. It doesn't have to be this way. Now you can control rising healthcare costs with Imagine360, offering the first full-service health plan solution with the savings of reference-based pricing built in. Let's see the impact of Imagine360 first by looking at a health plan without price protection. Meet John. He has an employer-sponsored, high-deductible PPO plan. Three weeks after getting a CT scan, John received a bill for fifteen hundred and twenty-eight dollars. He's responsible for the entire amount since he hadn't met his eight-thousand-dollar annual deductible. John will need to make some tough financial decisions or his bill could be sent to collection and his health plan doesn't offer bill support. How did John and millions of other Americans end up in this mess? To find the cause, you need to understand how healthcare pricing works. The average price for a CT scan is thirty-eight hundred and twenty-one dollars. John's PPO plan provides a sixty percent discount. which lowers the price to fifteen hundred twenty eight dollars. That sounds like a good deal, until you realize the actual cost as reported by the facility is only a hundred dollars. That's a thirty eight hundred percent markup. Let's reimagine how John's healthcare experience would be with a health plan solution from Imagine360 offering reference based pricing built in. John gets his CT scan but this time with Imagine360. His claims are reviewed and repriced using the actual cost of care and what Medicare pays as a guide, and then resubmits the claim with payment. So instead of paying fifteen hundred twenty-eight dollars, John pays a hundred fifty dollars. the reduced cost with Imagine360. That's significant savings compared to a traditional PPO plan. Same procedure, same hospital, dramatically lower cost. And if the provider ever has a question about payment, John has a dedicated member advocate on his side to help resolve any billing issues and further maximize healthcare savings. That's how Imagine360 is providing a better healthcare experience for John and thousands of employees like him, with a total health plan solution that includes proactive personalized support and the deep savings of reference-based pricing. It's a completely reimagined healthcare experience delivered by the experts at Imagine360. Learn more at imagine360.com.

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