In the past, Employer Benefit Teams had to staff up to deploy network innovation outside of the carrier to handle the negotiations and ongoing management of multiple contracts with APCs, COEs, and Care Navigation to improve access to high-quality, cost-efficient providers. To make the networks visible to employees and their dependents, benefit teams have to manage eligibility, billing and invoicing, auditing in addition to finding ways to improve program performance and adjudicate performance guarantees.
Our team has pioneered employer-direct contract arrangements from the start. We’ve done the research and experienced the pitfalls. We know what works, and what doesn’t. That’s why we get the members the best in care at substantial savings. Under one negotiation and one entity, we reduce your contracts tenfold while ensuring their performance meets the high quality standards we've established in conjunction with PGBH.
