We’re looking forward to learning and sharing actionable ideas at the upcoming Self-Insured Health Plan Executive Forum.
If you’d like to talk to learn how Medxoom is helping its Employer, Borker, or TPA partners deliver their client groups more engaged satisfied members with lower provider costs and improved quality, just fill out the form so we can schedule a time to talk while there.
They Got Estimates Before Surgery — And A Bill After That Was 50% More
A patient recently experienced the price transparency issue that plagues the healthcare industry when he went to get non-emergency hernia surgery. Even after working diligently to get price estimates from the hospital and surgeon before the surgery, his actual bill after a successful surgery was 50% higher. Medxoom’s proprietary pre-service price and quality comparison tool allows fast simple price searches based on any health plans historical payments data.
Health care is gobbling up your wages
A recent report highlights U.S. household incomes have barely changed over the past 20 years on an inflation-adjusted basis due in large part to the exploding costs of employer health coverage. Healthcare costs have risen dramatically and consumed almost all household income growth. Medxoom is working to help employers gain some visibility into medical procedure price and quality variance to save money with our proprietary pre-service comparison shopping technology.
A recent study by RAND Corp. has shown large variances in hospital prices and quality for all procedures. As the fight by employers and patients for price transparency continues, Medxoom’s comparison shopping technology can help can help consumers navigate the system to help find highest quality lower cost hospitals in their region.
We’re looking forward to learning and sharing actionable ideas at the upcoming HCAA Executive Forum.
If you’d like to talk to learn how Medxoom is helping its TPA partners deliver their client groups more engaged satisfied members with lower provider costs and improved quality, just fill out our form so we can schedule a time to talk while there.
Health insurers overcharging Medicare Advantage plan members for medical procedures, and therefore Medicare and U.S. taxpayers, is a common practice, according to Kaiser Health News. If questionable inflated billing issues are happening to the Federal Government, imagine what’s happening with your employer health plan. To protect your plans assets, consider using an independent TPA, get rights to audit large claims before paying them, look at Reference Based Pricing plans, and use Medxoom technology to help your employees navigate the healthcare system.
The healthcare industry is facing potential systemic changes as the awareness of high prices compared to actual costs and lack of price transparency continues to spread among employers and consumers. The healthcare system is currently built to maximize profits, not to compete for patients on quality and price like every other business. Medxoom helps employers and their employees shed light on healthcare price and quality before service with its proprietary Comparison Shopping technology.
The Center for American Progress has released a report examining the rising prices that patients are incurring from Hospitals across the country. Commercial insurers are estimated to pay about twice what Medicare does for hospital care. High prices do not always indicate better quality; in fact, they often mask inefficiencies in the hospital business. Among potential solutions to the growing industry-wide problem is to introduce reference-based pricing as a way to help negate the rising costs. Medxoom’s proprietary Comparison Shopping technology helps patients educate themselves on procedure price and quality variances before treatment with their health plan.
The employers and people of Summit County in Colorado banded together to lower the prices at their hospital by 20% – a move that could spark change across the nation. One of the key factors in accomplishing this was the power of leverage gained by the knowledge the hospital was charging 5 to 8 times what Medicare was paying for the same procedures. Medxoom can help provide employers and their employees the much-needed knowledge of local price and quality variances with our proprietary comparison shopping tool prior to getting care.
Consumers are seeing rising costs in healthcare services as well as insurance plan deductibles. As patients try to save money where they can, Consumer Reports says that one way to save money is to ask for a direct cash from your healthcare providers. Medxoom can help patients weigh their options with pre-service pricing technology for healthcare services and employers with cash e-payments systems for their employees.