Viant Supplemental Networks
Configuring Networks for Maximum Savings

The Issue
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. For some, the cost of ignoring this unmanaged care can mean the difference between profitability and loss.

The Solution
As part of its White Space Management™ set of cost containment solutions, Viant has developed a Supplemental Networks offering to address the problem of out-of-network claims. These networks, combining both Viant-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.

Value Points

• Access to a national out-of-network solution with superior network discounts
• Deeper discounts/savings than other out-of-network network solutions in the marketplace with an average of 25% across all provider types
• Reduced medical expense up to 40% of payer’s out-of-network claim volume and significantly lower non-network claim exposure
• Strengthened relationships between payers and providers through timeliness and accuracy of provider payment
• As claims are adjudicated under the auspices of a signed contract, there are virtually no provider disputes other than verification of participation and/or application of the correct payment terms
• Seamless payer participation with no logo requirements

How It Works
For Viant customers who subscribe to the Supplemental Networks offering, all claims follow a configured hierarchy that leverages the geographic strengths of its network partners. Supplemental Networks are used in various configurations to produce discounts of 21%–30% and allow Viant to address 30%–40% more out-of-network claim volume than before. The supplemental network contracts allow us to plug gaps in a payer’s out-of-network exposure, and accelerate claim processing turnaround times from 5-7 days on a negotiated solution, to 2-3 days on a network-based solution. And, as more inpatient claims are managed through a network-based solution, more time can be spent addressing out-of-network physician, ancillary and outpatient bill volume that payers also grapple with.

Advantages

• The Viant Supplemental Networks offering has saved clients more than $70 million since inception
• Viant continues to add high-quality providers to its Supplemental Leased Networks. Currently, the number of providers in this offering are as follows:

• 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 other Viant cost containment services to integrate with the Supplemental Network hierarchy

Summary
With Supplemental Networks, payers have access to a unique and powerful configuration of networks determined by the geographic savings and penetration strengths of Viant’s network partners. To learn how the Viant Supplemental Networks program can start saving you money, call us today at 800.820.5824.