What is ProVision Health?
The Next Evolution in Health Plans
This plan offers employers and employees the best of both worlds. All the infrastructure and member experience of a large PPO. All the financial outcomes of a independent TPA. Net payments, less than most Reference Based Plans.
With ProVision
Cost Savings & Provider Access
ProVision has many advantages for Health Plans and Plan Members:
- Cost Savings Through Innovative Claims Payment Model
- PPO Network Access
- Eliminates Balance Billing Risk
- Negotiated Rates with PPO Cooperation
- Predictability & Stability
- Best-in-Class RX and Stop-Loss Pricing
Healthcare Pricing Comparison
Impacts On Stop-Loss Insurance
Stop-loss insurance protects health plans against unexpectedly high claims. The cost of Stop-Loss Insurance is influenced by the underlying risk of large claims and the predictability of the total cost.
1
Lower Claims Costs:
- Effective cost management
- Lower overall liability
- Better long term risk portfolio
2
Increased Predictability:
- Max claims liability, network allowed amount v.s. billed charges
- Simplifies risk modeling for reinsurers
- Minimizes exposure to high dollar claims
3
Reduced Incidence of Large Claims:
- Lower specific stop-loss premiums
- Lower aggregate attachment points
- Better overall renewals year over year
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