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 health 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

  • This group has 492 employees located in the Midwest and previously used a National PPO Network.
  • HST reviewed 1,055 claims representing $5,395,018 in billed charges.
  • Gross savings of $3,859,646 or 72%.
  • Claims reviewed (1,055) represent 401 distinct members.
  • Facility claims are priced at 140% of Medicare 
Physician claims are priced at 120% of Medicare.

Plan Performance


Billed Charges: $5,395,018
Plan Allowed: $1,535,371
Total Savings: $3,859,646

Plan Stats

# of Claims: 1,055
Avg. Savings Per Claim: $3,658
Total Employees: 492
Avg. Savings Per Member: $9,625
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 4,856 employees located in the Northwest and previously used a National PPO Network.
  • HST reviewed 6,903 claims representing $56,682,400 in billed charges.
  • Gross savings of $42,337,214 or 75%.
  • Claims reviewed (6,903) represent 2,166 distinct members.
  • Facility claims are priced at 140% of Medicare Physician claims are priced at 140% of Medicare.

Plan Performance


Billed Charges: $56,682,400
Plan Allowed: $14,344,854
Total Savings: $42,337,547

Plan Stats

# of Claims: 6,903
Avg. Savings Per Claim: $6,133
Total Employees: 3,856
Avg. Savings Per Member: $19,546
Return on Investment: 173.34 : 1

Billed Charges VS Plan Allowed

Want to know what our experience is?

Click below for a free sample report.

Free VBP Experience Report