WHAT IS A PERFORMANCE HEALTH PLAN?
THIRD-PARTY ADMINISTRATOR
REFERENCED BASED
PRICING PARTNER (REPRICER)
DIRECT PRIMARY CARE PHYSICIAN (DPC)
PAID A SET MONTHLY FEE (PMPM)
TRANSPARENT, PASSTHROUGH PHARMACY BENEFIT MANAGER
EVIDENCE BASED
MEDICAL MANAGEMENT & STEERAGE
DIRECT CONTRACTS & BUNDLED PRICING FOR PROCEDURES
WHAT IS A PERFORMANCE HEALTH PLAN?
1
DIRECT PRIMARY CARE (DPC)
DIRECT PRIMARY CARE IS THE FIRST STOP FOR ALL PREVENTIVE AND ACUTE CARE. OUR PLANS ELIMINATE ALL PRIMARY CARE CLAIM COSTS AND REPLACE THEM WITH A LOW, FIXED MONTHLY FEE AND PROVIDES YOUR MEMBERS WITH UNLIMITED ACCESS TO THEIR OWN PRIMARY CARE PHYSICIAN.
WHAT IS A PERFORMANCE HEALTH PLAN?
REASONABLE REIMBURSEMENTS FOR CARE
2
OUR PLANS REIMBURSE SPECIALISTS, SURGEONS, AND FACILITIES BASED ON A VARIETY OF ACCEPTED DATA METRICS. REGARDLESS OF HOW MUCH A HOSPITAL MAY BILL THE PLAN, WE ENSURE A FAIR AND REASONABLE REIMBURSEMENT IS ACCEPTED BY ALL PLAN PROVIDERS.
WHAT IS A PERFORMANCE HEALTH PLAN?
3
EXPERT PLAN MANAGEMENT
OUR HEALTH PLANS ARE MANAGED AND MONITORED 24/7 TO ENSURE PRO-ACTIVE MITIGATION OF COST AND STEERAGE TO EXCEPTIONAL QUALITY OF CARE. WE KNOW THAT BETTER CARE EQUALS A BETTER OUTCOME, AND THAT ALWAYS COSTS LESS.
WHAT IS A PERFORMANCE HEALTH PLAN?
FEE-BASED CONSULTING ONLY
4
WE DO NOT ACCEPT COMMISSIONS, BONUSES, OR ANY OTHER PLAN INCENTIVES FROM INSURERS OR VENDOR PARTNERS. WE ARE PAID BY OUR CLIENTS TO REPRESENT THEIR BEST INTERESTS. WE'RE SO CONFIDENT WE CAN CONTROL HEALTHCARE COSTS THAT WE'LL PUT OUR FEES AT RISK JUST TO PROVE IT.
25% 82% 100%
YOUR GUARANTEED TOTAL SAVINGS IN THE FIRST PLAN YEAR. WE'LL BET OUR FEES ON IT.
OVER 82% OF PATIENTS WITH A DPC PHYSICIAN WILL NOT NEED ANY ADDITIONAL SPECIALTY CARE.
THE AMOUNT OF CONTROL AND TRANSPARENCY YOU CAN HAVE OVER YOUR HEALTH PLAN.
IS THERE MORE THAN JUST ONE HIGH PERFORMANCE HEALTH PLAN?
*RBP
*PBM for Drugs
Self-Funded Health Plan
Physician Only Network Wrap
*RBP for Hospitals
*PBM for Drugs
MPLOYEE
DEDUCTIBLE & OUT OF POCKET COSTS WAIVED
HIGHER QUALITY CARE & BETTER
CLINICAL OUTCOMES.
25% LOWER HEALTHCARE SPEND
COMPLETE CONTROL & TRANSPARENCY
