Customized Solutions for Optimal Results
At HealthSmart, we understand that each plan is unique. That's why our Physician & Ancillary (P&A) Network is designed to complement and enhance a variety of healthcare plans. Whether you have a Reference-Based Pricing (RBP) plan or a full-coverage PPO, we can augment its strengths and address any market-specific weaknesses.
Our P&A Network's flexibility and customization capabilities set us apart. Our network is fully contracted and credentialed, offering discounts at or below carrier networks and RBP parameters. With us, you eliminate the risk of providers balance billing, providing peace of mind to both you and your members. Our access fees are the most aggressive in the market, and we offer flexible models to accommodate your preferences seamlessly. Implementing the network is as simple as an EDI install, which ensuries you have a smooth transition.
We make savings easy
Physician and ancillary services remain significant portions of overall plan expenses, representing about 30% of healthcare spend. With HealthSmart, you can optimize savings without compromising on quality.
HealthSmart’s Physician and Ancillary Network delivers value to plan sponsors, members, and providers in terms of quality outcomes, stakeholder experience, and cost benefits. Here’s how we deliver:
- Plan sponsors enjoy savings based on the enhanced discounts for a wide range of physician services guaranteed and without worrisome administrative burdens
- Plan members are familiar with the PPO model and are likely to experience significantly fewer issues and complaints about the most common causes such as access limitations and network adequacy
- Claims repricing is completed quickly and efficiently, so providers are paid promptly and do not complain to the plan sponsor
- If any issues should arise, they are quickly addressed by a dedicated client services team
- Implementation is fast and easy. Once the contract is signed, full implementation can be achieved within 30 days or less
- Plan sponsors can rest assured that our approach to service is responsive and reliable. Our Net Promoter Score of 50 is considered excellent
Our P&A Network will help you win new clients, grow revenue and adapt to a rapidly expanding market segment. Contact us today to see how we can help!
We have other flexible, effective cost containment plans for Ancillary care-- Learn more!