Claims spend accounts for nearly 90 percent of health care costs for any insurance plan. As the biggest driver of health care spend, ProviDRs Care Network has worked diligently throughout Kansas to help our clients reduce the cost of their claims. It’s our job to negotiate those rates. Above are the locations of the hospitals that have partnered with ProviDRs Care to bring better pricing to their communities.
And, this is only our first wave of re-contracting – more to come.
With a goal of improving discounts at more than 100 hospitals throughout Kansas, we are continuing these efforts until 100 percent of the targeted hospitals are re-contracted at a cost-effective rate. To date, we have achieved nearly 30 percent of our target goal in less than 6 months’ time.
During these negotiations, one objective was to move away from a percent-off charges reimbursement to a fixed-cost reimbursement, either based on a Diagnosis-Related Group (DRG) or a per diem on inpatient services, and to fixed rates based on Ambulatory Payment Classification groupers (APC) for outpatient services, eliminating the potential for inflationary increased costs as charges go up. The result in these changes are significant in many cases.
Contact me, Karen Cox, CEO, ProviDRs Care directly, 316-683-0665 (or toll-free, 800-801-9772), or email email@example.com, to learn more about specific discounts in your area today.