Calculate Reference-based Pricing with Medicare Repricing System

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Presentation Description

CMSPricer prices all PPS types of institutional and professional claims including claim editing for Reference-based pricing. A SaaS-based Medicare claims repricing system for payers to cut health plan costs.

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Presentation Transcript

Slide1:

Want a solution to control your organization’s health plan expenses?

Slide2:

Capping health plan expenses is company’s priority now.

Slide3:

Reference-based pricing is a solution for this goal.

Slide4:

Set allowable health expense based on a reference point.

Slide5:

RBP plans are different from traditional health plans in multiple ways.

Slide6:

Physicians are paid Medicare + 50%

Slide7:

Facilities and surgical centers are paid Medicare + 50 %

Slide8:

Concierge facility and surgeon quality with appointment setting

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Members have no copay or deductible if they follow steerage to select providers

Slide10:

Balance bill legal protection for members calculated by Medicare claims repricing system

Slide11:

Reduces claims spend substantially for clients

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Clients get predictable outcomes

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Ensures lower out-of-pocket costs for members

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Medicare Claims Repricing System Help in Reference Based Pricing

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Want to implement Medicare Claims Repricing System?

Slide16:

Go to www.cmspricer.com

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