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Our RBP solutions offer potentially significant reductions in claims costs, stop-loss premiums and network access fees. HPI can reduce stop-loss premiums by 10% to 15% below carrier rates and stabilize renewal inflation trends.
Our pre-certification process establishes the cost of services before care is provided. This upfront transparency avoids surprises and helps alleviate member balance billing.
Our RBP solutions are open-access, facility-based plans offering freedom of choice. Members can choose where to access care, including inpatient/outpatient hospital and facility-based care; lab, imaging and dialysis services; and ambulance services.
HPI provides employers and plan members with dedicated Pathways Concierge services. Our expert pre-pricing navigators, account services, claims, care management and patient advocacy teams work together to simplify the process and ensure clear communication at every step.
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Health Plans, Inc. is a Harvard Pilgrim company