Value-Driven Health Plans Are Revolutionizing Reference-Based Pricing

What are Value-Driven Health Plans?

VDHPs are high-engagement, low cost health plans that:

  • Are customizable for use with or without a network
  • Utilize interactive member and provider tools to drive quality and savings
  • Promote pricing transparency to members
    and providers
  • Generate higher provider acceptance

What are Value-Driven Health Plans?

VDHPs are high-engagement, low cost health plans that:

  • Are customizable for use with or without a network
  • Utilize interactive member and provider tools to drive quality and savings
  • Promote pricing transparency to members
    and providers
  • Generate higher provider acceptance

(soft music plays)

As companies emerge from the pandemic employers will need to offer health plans that reduce the cost of healthcare while continuing to provide employees high quality coverage. HST helps employers meet this challenge by taking reference-based pricing to the next level, with our new Value-Driven Health Plan offering. HSTs unique approach enables a new, low cost, high engagement plan design that can be used stand alone or in combinaiton with a physician network. The plan design is member powered and provider friendly, and best of all, effective. We emplower members with a set of tools used pre and post service. HST connect, a mobile app and website allows members to choose a provider even when there isn’t a network in place. Members shop based on cost, quality and the providers HST Acceptance rate, a rating that helps members avoid potential balance bills.

In the rare case a member does receive a balance bill post-service, HST’s Patient Advocacy Center works on their behalf to reduce or eliminate the bill. Value-Driven Health Plans also offer providers pre and post service tools that increase acceptance of the program. HST Connect steers members toward providers for service. Providers are also educated during prior authorization to ensure they understand the plan and potential reimbursement. They are also presented opportunities to negotiate a mutually agreeable price on services, before they are rendered. Post service, providers have access to HSTs provider settlement portal where they can view claim details and discuss the payment. This provider collaborative approach results in an over 98% acceptance rate. Groups using HSTs value-driven health plan design save on average, 74.3% on their medical claims. that’s 20-30% above traditional plan savings using carrier discounts.

(Soft music plays)

Benefits of Value-Driven Health Plans

Lowers plan costs
Makes pricing transparent
Reduces members’ out-of-pocket expenses
Empowers members
Collaborates with providers, minimizes provider abrasion

Providers accept VDHPs

A key factor in helping employers control healthcare costs is high provider acceptance of the plan’s reimbursement. That’s why HST’s Value-Driven Health Plan services engage with providers throughout the healthcare process. With HST, providers enjoy:

HST Connect redefines the member experience

HST Connect is a mobile app and website technology that empowers members to shop for providers based on:

  • HST acceptance rate
  • Network participation, where applicable
  • Hospital quality score
  • Out-of-pocket cost comparisons

HST’s Patient Advocacy Center helps with unexpected bills

HST works with providers to determine costs before members’ treatment. If after treatment, members receive a bill that is more than the patient responsibility shown on their Explanation of Benefits, HST’s Patient Advocacy Center (PAC) will contact the facility on the member’s behalf and work to resolve the issue. All that the member needs to do is contact the PAC and let them know about the bill, and we will do the rest.