IMPACT

VBP provides employers the immediate impact of the decreased rates and will continue to provide dramatic savings year after year.

Members also get savings benefits by reducing their out of pocket up to 13.1% annually.

71%
Average Group Savings
100%Traditional
43%HST
Average Member Cost
Potential Future Savings

HOW IT WORKS

VBP PLAN SERVICES

OTHER SERVICES

Health Systems

When heath systems partner with HST they receive the perks of 100% claim approval, receive payments in 7-10 business days, heavily reduce the members out of pocket expenses, and are provided transparent reimbursement.

Out of Network

Out-of-network solution where the plan uses Value-Based Payments to benchmark reimbursements based on a percentage of savings. It replaces traditional networks and helps reduce claims and costs by pricing claims on a percentage of Medicare.

Direct to Employer

Benefits of DTE Health Systems is direct marketing, strategic controls, improved cash flow, defensive posture, and Value-Based Care.

CASE STUDIES

MUNICIPALITY

Client Profile & Situation

  • The group has 469 members located in the Midwest and previously used a national PPO Network.
  • HST reviewed 1,026 claims representing $5,780,263 in billed charges.
  • Gross savings of $4,130,594 or 71%.
  • Claims reviewed (1,026) represent 425 distinct members.
  • Facility claims are priced at 140% of Medicare Physician Claims are priced at 120% Medicare.

Plan Performance


Billed Charges: $5,780,263
Plan Allowed: $1,649,688
Total Savings: $4,130,594

Plan Stats

# of Claims: 1,026
Avg. Savings Per Claim: $4,025.92
Total Employees: 469
Avg. Savings Per Member: $9,719.05
Return on Investment: 116.43 : 1

Billed Charges VS Plan Allowed

TRANSPORTATION

Client Profile & Situation

  • This group has 1,406 members located in the Southeast and previously used a National PPO Network.
  • HST reviewed 4,893 claims representing $22,441,344 in billed charges.
  • Gross savings of $17,523,505 or 78%.
  • Claims reviewed (4,893) represent 1,185 distinct members.
  • Facility claims are priced at 140% of Medicare Physician claims are priced at 120% of Medicare.

Plan Performance


Billed Charges: $22,441,344
Plan Allowed: $4,917,839
Total Savings: $17,523,505

Plan Stats

# of Claims: 4,893
Avg. Savings Per Claim: $3,581.34
Total Employees: 1,406
Avg. Savings Per Member: $14,787.77
Return on Investment: 179.63 : 1

Billed Charges VS Plan Allowed

ENERGY

Client Profile & Situation

  • This group has 198 members located in the Northwest and previously used a National PPO Network.
  • HST reviewed 254 claims representing $3,162,419 in billed charges.
  • Gross savings of $2,635,005 or 83%.
  • Claims reviewed (254) represent 72 distinct members.

Plan Performance


Billed Charges: $3,162,419
Plan Allowed: $527,414
Total Savings: $2,635,005

Plan Stats

# of Claims: 254
Avg. Savings Per Claim: $10,374.04
Total Employees: 198
Avg. Savings Per Member: $36,597.30
Return on Investment: 173.34 : 1

Billed Charges VS Plan Allowed