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.
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.