Embracing Technology for Cost-Effective Health Plans

With the recent integration of Expion Health’s Medical Cost Containment solutions and Reliant’s esteemed expertise in the cost containment sector, we have developed a comprehensive suite of solutions in just four months. This suite helps health plans, third-party administrators, and brokers reduce medical costs using proprietary technology backed by over 30 years of provider reimbursement data. Key offerings include ClaimSaveIQ, a smarter claims repricing model ensuring fair pricing, and tools for addressing NSA challenges, such as a QPA calculator and IDR management. Additionally, Medical Bill Review services tackle pricing inconsistencies and abusive billing practices, all enhanced by innovative AI technology to transform cost management.

As we bring these modern solutions to the market, it’s important to understand how they contrast with the traditional approaches many health plans still rely on today.

In the healthcare management space, traditional methods such as stacking networks and reference pricing have been the go-to approach for many health plans. While these methods have worked for some, there is a more efficient path forward that promises to maximize savings and enhance the quality of care. By embracing technology, TPAs and employers can revolutionize the way they manage costs. 

The Limitations of Traditional Approaches

Traditional approaches in healthcare, such as stacking networks and reference pricing, have long been utilized to manage costs. Stacking networks offers different pricing tiers, while reference pricing sets a standard price for services, encouraging providers to meet this benchmark to remain competitive.

However, these strategies capture only a slight percentage of potential savings. There is often the lack of flexibility and insight required to adapt to the rapidly changing healthcare landscape.

The Promise of Technology

Enhanced savings are achieved through the adoption of technology. By leveraging our Intelligent Allowable, Integration Flexibility, NSA & Balance Billing Compliance and Volume-Based Pricing through our Reliant-IQ technology, one can gain deeper insights to gain control over medical cost containment. This technological shift allows for a more dynamic approach to managing healthcare costs.

A Deeper Understanding

With the use of technology, data gathered can provide information to identify trends, inefficiencies[JG1] , and the possibility to achieve significant savings. By understanding where costs are incurred and how resources are utilized, organizations can make more informed decisions.

The Reliant Solution

Be the leader

The future of healthcare cost management will be driven by the advancement of technology. By moving beyond traditional methods and adopting a volume-based, cost-effective approach, healthcare providers can achieve significant savings while maintaining compliance. 

As the healthcare landscape continues to evolve, organizations that trust and invest in technology will be better positioned to meet the challenges of tomorrow. It is time to leave behind the limitations of the past and step into a new era of healthcare cost management, where technology leads the way to a more efficient and cost-effective future.

Optimize your outcomes and get in contact with our team. 

info@relianthp.com 

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