CostPlus

Creativity is the name of the game when it comes to reining in continually rising healthcare costs. Designed with Reference Based Pricing (RBP) methodology, ACS CostPlus provides total price transparency and payment. For medical services based on the largest healthcare pricing system in the United States–Medicare.

CostPlus uses Medicare allowable amounts as a basis of cost and adds a multiple to establish a reasonable level of reimbursement for all hospitals and providers. In fact, 20% or more of Primary Care Physicians already bill at or below this reasonable level. This method of establishing reimbursement levels results in substantial cost savings to employers!

CostPlus Highlights

Per Employee Per Month (PEPM) Pricing: Subscriptions model vs. our competitors’ % of billed charges.

Flexible Model:

Offer both full replacement model and Facility only (PHSC as Professional Network)

Ability to customize solutions by location using RBP and Network options

Unique HRA Reimbursement model available for negotiated amount approved by Employer

As an added layer of protection, a nationally renowned law firm is placed on retainer to defend plan members against balance billing, if needed, through the Patient Defender program (add-on service)

Education/Communication:

Customized Launch Plan and ongoing campaign

Stop-Loss Partnerships:

RBP-Friendly reinsurers that understand how to price the product for maximum savings and coverage

Advantages

Per Employee Per Month (PEPM) Pricing: Subscriptions model vs. our competitors’ % of billed charges.

Preserve a competitive health benefit package

More effectively manage benefit package expenses

Reduce overall costs and expand benefits to employees

Halt the increasing rate of inflation in medical costs

Level the playing field across providers

Additionally, with CostPlus:

Members can choose any provider

“Out-of-network” area is a problem of the past

The average provider discount of eligible charges is 64%

ACS’ balance bill occurrence is .06% - significantly below the industry average of 2%. In the rare instance this does occur, an ACS Patient Advocate will be there every step of the way until the issue is resolved.

The Proof is in the Numbers!

Actual Client Experience

Moving from PPO to ACS CostPlus RBP (Paid Claims)

Actual ACS Client Experience (Banking Industry)- Paid Claims

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Let’s talk about the incredible savings with CostPlus.

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