HST partners with brokers

to create lasting relationships with employers while driving down healthcare costs

Who is HST?

10+ Years redefining
reference-based pricing

Value-Driven Health Plan services for employers of all sizes

Innovative engagement tools for plan members

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 is broker driven

HST helps brokers expand their book of business with our unique member, provider, and employer-friendly Value-Driven Health Plans 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 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.

What are Value-Driven Health Plans?

With most plans, providers set their own prices — and these prices can vary greatly.

Value-Driven Health Plans are a transparent way to determine the price of service by reimbursing provider 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.

Value-Driven Health Plan services options

Standard

Value-Driven Health Plan
  • Fair and accountable pricing
  • Includes a Practitioner & Ancillary Network
  • Open access for Facilities using HST’s Medicare & Cost+ pricing methodology
  • In-network practitioner & ancillary network claims will be priced based on the network contracted rate, while out-of-network claims will be priced using HST’s methodology

Full

Value-Driven Health Plan
  • Fair and accountable pricing
  • Completely open access with no provider networks
  • All claims are priced using HST’s pricing methodology.

HST Care Connect

Value-Driven Health Plan
  • HST Care Connect is a Direct-To-Employer (DTE), Health Plan that allows us to provide employers direct access to medical services at an affordable price.
  • Designed to lower cost, increase engagement and quality, all while limiting member financial responsibility.
  • Two tier approach: Tier 1: Contracted Health System. Tier 2: wrapped with HSTs pricing methodology.

Why would an employer be interested in Value-Driven Health Plan services?

Value-Driven Health Plan services provide the engagement tools necessary to keep employees and providers happy while driving down employer healthcare costs.

Engaging Members

Engaging Providers

Engaging the Group/Plan

Mobile app and web portal that empowers members to shop for providers based on cost comparisons, HST acceptance rate, quality ratings and more.

Professional Patient Advocates negotiate with the provider on behalf of the member in the unlikely case of balance bills.

In addition to HST Connect, members also receive tailored messaging including slicks, videos, and other materials educating them on how to make the most of their Value-Driven Health Plan.

Provider tools like Pathfinder assist during pre-authorization to educate the provider about the plan and reimbursement rates before services are rendered.

Our comprehensive Provider Settlement Portal allows providers to view claims for accuracy, have a claim re-reviewed, and explore and further understand HST’s pricing methodology.

An in-depth look into HST’s extensive data and metrics to determine the viability of HST Acceptance in a geographic area. Along with providing the savings impact that HST’s pricing has over a Traditional Plan.

HST’s Pre, during, and post service negotiations tool that allows PAC to successfully negotiate a deeper discount with on demand payments that help achieve higher savings and quicker settlement times.

Plan dashboards and other detailed reporting packets are sent monthly to update you on plan metrics, PAC updates, and provide an overview of your plans performance.

Engagement
Tools
HST Connect
Mobile app and web portal that empowers members to shop for providers based on cost comparisons, HST acceptance rate, quality ratings and more.
ENGAGING MEMBERS
Patient Advocacy Center
Professional Patient Advocates negotiate with the provider on behalf of the member in the unlikely case of balance bills.
ENGAGING MEMBERS
Tailored Member Messaging
In addition to HST Connect, members also receive tailored messaging including slicks, videos, and other materials educating them on how to make the most of their Value-Driven Health Plan.
ENGAGING MEMBERS
Provider tools
Provider tools like Pathfinder assist during pre-authorization to educate the provider about the plan and reimbursement rates before services are rendered.
ENGAGING PROVIDERS
Provider Settlement Portal
Our comprehensive Provider Settlement Portal allows providers to view claims for accuracy, have a claim re-reviewed, and explore and further understand HST’s pricing methodology.
ENGAGING PROVIDERS
Data IQ
An in-depth look into HST’s extensive data and metrics to determine the viability of HST Acceptance in a geographic area. Along with providing the savings impact that HST’s pricing has over a Traditional Plan.
ENGAGING THE GROUP PLAN
HST Qwik Pay
HST’s Pre, during, and post service negotiations tool that allows PAC to successfully negotiate a deeper discount with on demand payments that help achieve higher savings and quicker settlement times.
ENGAGING THE GROUP PLAN
Detailed Reporting
Plan dashboards and other detailed reporting packets are sent monthly to update you on plan metrics, PAC updates, and provide an overview of your plans performance.
ENGAGING THE GROUP PLAN
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Client Case Study

The Client

 

Hospitality company (2,704 employees) replaced their traditional PPO plan with a VDHP including reference pricing for facilities and a PPO for physician and ancillary services

1 Year Client Outcome

  • 98.9% Provider Acceptance Rate
  • Annual savings 26% better than the PPO Only plan
  • Overall Medicare percentage: 148%

Total cost for PPO:

Before VDHP
$17,297,114
After VDHP Integration
$12,866,978
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Value-Driven
Health Plan services

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Value-Driven
Health Plans services

By the Numbers

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Employer Groups

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provider acceptance rate
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client retention in 2021
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return on Investment (ROI)
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provider acceptance rate
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client retention in 2021
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return on Investment (ROI)

Request an HST Savings Analysis

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:

  • Company Name
  • Plan Year Effective Date
  • Employee Census
  • Plan Design
  • Number of Enrolled Employees
  • Total Paid Medical Claims for a Year

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.