The AMPS Personal Healthcare Concierge Serviceadvancedpricing.com/...Concierge_Presentation.pdf ·...

The AMPS Personal Healthcare Concierge Service

What is the Personal Healthcare Concierge Service?

Ø Identifies & contracts with quality hospital and outpatient facilities PRIOR to service

Ø Negotiates fee on a “cash” basis using Referenced Based Reimbursement

Ø Payments made prior to or at time care providedØ Coordinates and schedules services on behalf of the

memberØ Provides high touch, personal support throughout the

process

Why Consider this Solution for Your Clients?

Client Member Provider

Reduced Medical Spend Lower Out-of-Pocket Costs Cash Payment Upfront

Enhanced Member Satisfaction

Better Experience, Peace of Mind

Improved Patient Interaction

We’re generating on average 20-30% savings ABOVE what is offered by the typical

PPO

How does it work?

Ø The member calls AMPS / CDS when hospital or outpatient facility services are needed

Ø A Concierge Specialist will coordinate all services and negotiate a “cash” rate up front to drive deeper savings

Ø The Concierge Specialist will schedule care on behalf of the member and provide personalized service

Ø Payment will be coordinated in advance of the services to include the Plan’s and member responsibility

What is the potential impact?

Ø Average 20-30% savings ABOVE what is offered by the typical PPO.

Keys to success

Ø Member education- early and often!Ø Plan incentives that encourage members

to use the programØ Plan language that supports the process

How do we report results?

Ø We’ll generate monthly reports reflecting the following;ü Cases in processü Cases successfully negotiated and closedü Cases that were unsuccessful and reasonü Fees charged per caseü Total fees and net savings

How much does it cost?Ø Per Case Concierge Services fee

ü Diagnostic & imaging procedures (e.g. MRIs, CTs) $150ü Colonoscopies & Procedures <$3,000 $250ü Procedures >=$3,000 and <=$7,000 $500ü Procedures >$7,000.00 $1,250ü Co-pay Assistance $50

(Coordination of external funding on behalf of the member ifApproved in advanced by Client)*

This fee is paid via our proprietary medEcash program at the time of provider payment

Ø Per Case Contract Negotiation Fee

ü Per Contract Fee based on a % of total provider negotiated charges for the services

What’s in it for me?

Ø Increase in new business and revenue opportunities

Ø Additional tools for Client retentionØ Increased Client & member satisfaction

Great Question!

What’s in it for my Client?

Ø Additional Health Plan savings based on “cash” negotiations

Ø Reduction in member out-of-pocket costsØ Peace of mind and enhanced member

satisfaction

What materials will be available?

Ø Co-branded marketing flyersØ “How to” document to implement the serviceØ Member educational flyersØ UM company educational materialØ Educational PPTØ Member education video

Questions?