For more than 10 years, HST has redefined reference-based pricing. Now as part of MultiPlan, HST enables Value-Driven Health Plan Services for employers of all sizes. HST’s healthcare technology objectively determines the value of medical services, and our innovative engagement tools equip members to make optimal use of their plan benefits.
HST helps brokers expand their book of business with our unique member, provider, and employer-friendly Value-Driven Health Plan Services. We help you provide your clients a plan that stands apart with our unbeatable:
Through our valued broker partnerships, we work with you to minimize healthcare costs by presenting innovative solutions to keep your current clients and any prospects satisfied. We support you through every step of the process from:
You can find some of our customizable pre-sales and enrollment materials in our Broker Resource Center.
Value-Driven Health Plans are a transparent way to determine the price of service by reimbursing providers based on the value and quality of care that they provide. HST’s pricing methodology uses Medicare+ and Cost+ information to determine a fair and reasonable price for medical service reimbursements.
The end result is a lower price based on value with a baseline that is transparent and fair for all parties.
But that’s only part of it. A Value-Driven Health Plan also engages the member and provider in making optimal use of plan benefits, leading to high provider acceptance and member satisfaction.
Balance Bill Protection Service
Virtually eliminate member balance bill exposure – HST handles any provider settlements from start to finish.
Coordination of Benefits
Ensures the plan pays claims accurately and confirms member eligibility through advanced data analytics, validation, recovery and cost avoidance.
Subrogation
Identify, investigate, negotiate, recover and remit claims payment using advanced data mining. Uses analytics to generate insight to help identify accurate and efficient actions. Recovers 70-80% of incorrectly paid claims.
Value-Driven Health Plan Services provide the engagement tools necessary to keep employees and providers happy while driving down employer healthcare costs.
HST’s VDHP vs Other RBP Vendors
| Employer Impacts | Flexible Plan Options & Bundles | + | – |
| PHCS Network Exclusivity | + | – | |
| Predictable PEPM Fees | + | – | |
| NSA & Pricing Transparency Compliant | + | – | |
| Flexible, Adaptive Pricing Technology | + | – | |
| Prescriptive Analytics and Reporting | + | – | |
| Member Impacts | Provider Pushback | less than 1% | +/-5% |
| Provider Relationship | Collaborative | Non-collaborative | |
| Extensive Member & Cost-Estimation Tools | + | – | |
| Walmart Virtual Care Integration | + | – | |
| Patient Advocacy Center (PAC) | + | – | |
| Balance Bill Protection Service | + | – | |
| Provider Settlement Portal / QwikPay | + | – |
Over
Over
We offer comprehensive plan-specific information provided at go-live, including:
Want to learn more about how Value-Driven Health Plan Services may amplify your existing client relationships and attract new business? Request a savings analysis by emailing us at [email protected]. Please be sure to include the following:
PLEASE NOTE: The information provided on this website does not, and is not intended to, constitute legal advice; instead, all information, content, and materials available on this site are for general informational purposes only. If you have questions about the No Surprises Act, please consult your legal counsel.
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