LifeTrac® makes difficult easier and can positively impact your bottom line. LifeTrac recently had a client whose covered member needed an allogeneic bone marrow transplant. Their efforts produced a total case savings in excess of $980,000!
Total billed charges for this entire
case for pre-transplant, transplant,
and post-transplant were
$1,211,305.74.
Total allowable charges per the
LifeTrac contract at this network
facility were $230,978.48.
That translates into a total case
savings of $980,327.26 or 81% of total billed charges.
Due to its complexity, transplant
care can produce a significant
variation in costs. The structure of
LifeTrac agreements focuses on
aggregate cost-effectiveness so
you’ll know what to expect.
LifeTrac contracts have case rates set appropriately to prevent unknown exposure due to
outliers and minimize triggering of minimum payment provisions. If you’ve ever had rates
revert to a percentage off billed charges and costs subsequently sky-rocketed, you know exactly what
we’re talking about.
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The complex medical conditions you deal with infrequently are cases we deal with every
day. LifeTrac offers solutions for managing the risk and cost of high-dollar, low-frequency, complex medical conditions and treatments such as cellular therapy, mechanical assist devices (e.g. VADs), hemophilia, congenital heart disease and transplants.
Tokio Marine HCC – Stop Loss Group (TMHCC) is providing this information as part of our commitment to keeping you informed and updated on industry news and changes that affect your clients’ self-funding needs. To combat high costs, LifeTrac, an affiliate of TMHCC, provides solutions that focus on high-cost, highly complex, low-frequency medical events. Click here to learn more about how LifeTrac has been making difficult cases easier to manage for over 30 years.