With healthcare costs continuing to soar at an alarming rate, payers are increasingly focused on reducing the number of medical claims that fall outside of the traditional PPO network. This claim exposure, which we define as network "white space", amounts to 10%-15% of total paid claims for many national and regional plans.
The Solution
As part of its suite of cost containment solutions, Viant has developed a Supplemental Networks offering to address the problem of out-of-network claims. The network, which combines both Beech Street-owned and leased partner networks, provide additional savings on out-of-network claims by utilizing written agreements between these PPO networks and the providers. The contracts do not require identification of network participation at the time of the patient's admission, nor any financial steerage to the provider.
How it Works
The Supplemental Network offers expanded network access for patients who seek services from providers that do not participate in the client's primary or proprietary network. Participating providers agree to extend the negotiated rate to clients who offer the opportunity for direction and provide an identification card that includes a Beech Street or Beech Street affiliate logo.The goal of the Complementary Network is to offer a solution that can benefit the payer, the patient and the provider. The Complementary Network expands access in the same geography as the client's primary or proprietary network The Supplemental Network does not require a logo on the patient's identification card. Rather, the provider is notified of the application of the network contract on the Explanation of Payment.
Advantages
- The Supplemental Network offering has saved clients more than $70 million since inception
- Viant continues to add quality providers to its Supplemental Network.
- Viant offers a standard, state-based network hierarchy - clients may reorder or remove networks to this hierarchy to meet their specific needs
- Clients may choose our other cost containment services to integrate with the Supplemental Network hierarchy
Summary
With Supplemental Network, payers have access to a unique and powerful configuration of networks determined by the geographic savings and penetration strengths of Viant's network partners. |
