Healthcare Solutions’ specialty networks provide ancillary healthcare solutions to expedite access to care while simplifying the administrative process. Ancillary healthcare services are medical services provided outside of the hospital or physician’s office and include durable medical equipment and supplies, diagnostic imaging, physical medicine (physical therapy and chiropractic care), home healthcare and transportation and language services.
How does Healthcare Solutions deliver savings?
Ancillary care expenses continue to escalate for auto payers due to:
- Shifts in treatment alternatives, including increased use of pain clinics, chiropractors, MRI and CT scans
- Costs of treatment rising faster than the rate of inflation
- Attorney involvement significantly increasing medical treatment
Case Study - Chiropractic Care
According to the Insurance Research Council, hospitalizations for auto accidents as well as visits to general practitioners and physical therapists have declined; whereas, the use of pain clinics has doubled in the past five years. The use of chiropractors continues to rise and now accounts for the largest share of medical provider fees. Claimants visit chiropractors over five times more on average than a general practitioner – providing an opportunity to manage utilization and control costs.
Healthcare Solutions provides substantial opportunities for savings:
- Healthcare Solutions’ average chiropractic charge is $90/visit for PIP claims, compared to an industry average of $177/visit.
- Policyholders managed by Healthcare Solutions average 15 visits to a chiropractor, compared to an industry average of 25.3 visits.
- Savings achieved through unit cost reduction and utilization management result in 70% savings for our client. These savings occur through prospective management not through denial of care.
Case Study – Diagnostic Imaging
MRI and CT charges account for 62% of total dollars charged for diagnostic procedures. Average charges for MRI or CT procedures are higher when performed in hospitals rather than in medical professionals’ offices or freestanding clinics.
Through utilization of Healthcare Solutions’ diagnostic imaging specialty network, payers can achieve substantial savings:
- Healthcare Solutions’ average MRI charge is $685 for PIP claims, compared to an industry average of $1,474.
- Healthcare Solutions’ average CT charge is $400 for PIP claims, compared to an industry average of $1,374.
- Average savings for MRI scans is 46% and average savings for CT scans is 71%.
Settlements are typically 2-3 times medical costs when attorneys are involved. You can reduce settlements by controlling medical costs.
Click here to learn more about Healthcare Solutions’ Specialty Services.
