A MedBen Client switched from a traditional PPO plan to direct-to-employer (DTE) contracting in 2020. They contracted directly with a local health system, and added a wrap-around PPO network for out-of-area care. By using DTE contracted providers, any chance of balance billing is eliminated.
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By comparing what the Client would have paid based on their prior PPO discounts from January 2019 through July 2022, the Client has so far saved $2.21 million – that represents 7.1% of paid medical during the 43-month period.
MedBen has contracted with doctors and hospitals throughout the Midwest, including Ohio, Indiana, Kentucky, and Tennessee. To find out how alternative reimbursement solutions like DTE contracting and reference-based pricing can help your plan get the most out of your health care dollars, contact your broker or call us at 888-627-8683.