PPO's. Do Employers and Employees Have a Cost-Saving, Quality Alternative?

                                           Yes. RBP --                                         Reference-Based-Pricing is the Compelling Solution                                                                                                                                                     But First: The Failures of the PPO System.

Put simply, the Preferred Provider, Organization healthcare model, representing more than 90% of the providers in most markets, has failed in the two areas it promised to cure:

(1) exclusivity of providers, based on the quality of their care, and 

(2) equitable negotiated cost-for-service.

The PPO model has resulted in extraordinary and opaque cost increases year-after-year; it is a runaway train with no foreseeable end and ever-diminishing healthcare quality.

                                                                              Moving On:                                                 The Compelling Solution: Reference Based Pricing (RBP)

RBP has had a long run—more than 20 years. It has become the most compelling solution to healthcare affordability and quality care. 

How? The transparent RBP model charges buyers—the Employers and Employees— a maximum “reference” price for healthcare services based on 140% to 150% of the Medicare schedule of claim payments. The Employer's TPA determines fair, fixed prices for quality care, not the providers.

The best part? In the first year, Employers and Employees save between 20 to 40% by implementing an RBP program. Thereafter, incremental annual increases are based on inflation.

The RBP model is cost-effective and consumer-centric providing Education, Communication, Enrollment, and Data Management to Employers and Employees for successful and Ongoing Implementation and support.

Want more information?
Let’s talk to see if the RBP Solution can work for you.😀

Philip W Eide, Eureka!!, President   .   Mobile/Text: 216.577-5579    Email: phil@vestabp.com   .   www.vestabp.com

Can Brokers & Employers Reduce Health Plan Costs & Increase Quality?

  

Yes - Eureka!! offers Brokers and Employers a Proven, Sustainable Solution to a Nagging Problem!

How to Reduce the High Cost of Health Plans and Employee Benefits while Increasing Employee Satisfaction?       

The Eureka!! Solution – Reference Based Pricing (RBP) -Reducing Costs by 20% to 40% or More! 

We Combine RBP with a time-tested System for Employee Education, Communications, Enrollment, Data Management & Ongoing Service! 

What's wrong with existing Health Plans?

6 Factors that Contribute to High Costs:

     1) Hospitals, Medical Centers, Healthcare Providers & Drug Companies(PBMs) have long been raising prices at will! Brokers and Employers are unable to negotiate prices with these entities.

     Our Solution - RBP eliminates wide variations in the cost of health care for Employees compensating providers equally for the same care.

     2) PPO Networks -- Fail to deliver reduced cost and improved quality of care for two main reasons: 

     a) In most markets, 90-95% of the available providers are “preferred”, meaning they are in the PPO plan. The bar for being preferred is clearly low.

     b) With most PPOs any provider of care can join the PPO and there is no discounting. Patients don't know how much services will cost until they are billed.                                     Our Solution - Our RBP Plan does not utilize PPO Networks - Our plan reimburses the same amount—no matter which healthcare provider members choose. So there's no need to worry about out-of-network charges.

     3) Health Insurance Plans -- Insurers are not positioned to negotiate provider pricing and have limited access to data. Insurers merely pass along costs to Employers and Employees.                                                                                       Our Solution - The RBP Plans provided by Eureka!! replaces the traditional Health Insurance Plan and the PPO.

     4) TPAs (for Self-Insured Plans) -- Have limited leverage or capacity to negotiate billings for services provided to Employers/Employees! They are at the mercy of Care Providers and Stop-Loss Carriers.                                                   Our Solution - Eureka!! utilizes TPAs who specialize in RBP and are seasoned in setting prices for health services instead of negotiating with providers. We select a TPA to meet the specific needs of the Employer and Employees and provide Concierge Services.

5) Brokers & Consultants -- Have limited understanding of the RBP Strategies and Plans. In addition, they find it difficult to explain RBP plans to Employers and Employees.                       Our Solution - We work with Brokers and their clients to understand the inner workings of an RBP strategy and Plan and the processes for implementation to generate significant savings. 

6) A Lack of Employee Education and Communication --Most Brokers and Employers do not have an integrated strategy for educating their Employees about the Health Plan and its utilization.                                                                             Our Solution - Eureka!! and our affiliates deliver a time-tested system of Employee Education, Communications, Enrollment, Data Management combined with Ongoing Service. We empower the Employer's Management and  Employees to make informed, empowered decisions!   

RBP is a Strategy and Plan that Works!

If you are a Broker or Employer looking for a way to Reduce Costs, Better Quality of Care while providing Better Benefits, you can start saving now!                                                                 Note - If you're in the middle of a plan year - or have already accepted the best the insurers had to offer - you can start RBP now without penalties!

Let's schedule a time to discuss the above and your options -- 

Phil Eide -- Message/Text - 216.577.5579 / Email - phil@vestabp.com / www.vestabp.com

Do You Differentiate Your Company With Specific Expertise?

 

Do You Have a Specialty that Differentiates Your Programs, Products and/or Services?

> Do You Stand Out In Your Marketplace?

​> What's Your Area of Expertise?
​​> Do You Have a Specialty that Differentiates Your Programs, Products and/or Services for Qualified Prospects?
​     My company, Eureka!!, focuses on the Insurance, Benefits, Financial Service and Sales/Marketing Technology Industries: ie. H&L, P&C, Voluntary/Worksite, Medicare, Administration / TPAs, Enrollments, Software, etc. 
     At Eureka!!, we Specialize in Organizing & Managing in person, topic-focused Workshops for Small Groups of Potential Clients utilizing Unique Settings to Convert Qualified Prospects into Profitable Clients.
​     In addition, we::
          > Shortening Selling Cycles​
          > Reducing Client Acquisition Costs​
          > Increasing Revenues and Profits on a Turnkey Basis - 
                             (No Tech or Social Media Required)

We Set Them Up & You Knock Them Down!

     Here are Three Questions we at Eureka!! ask a potential Client when determining if we can work together:
          1) “What differentiates them – individually or as a Company – in their Marketplace?”
          2) “What are their Client Acquisition Costs?”
          3) “What is the Financial Value – Gross Income – Generated
from an Average New Client?”
​     If we determine that there is a Good Fit, we'll provide and explain a proposal!
      Working with Eureka!! and presenting your Topic at a Workshop, you will position yourself as an expert in your Marketplace by demonstrating experience, knowledge, and or skills that will generate Attendee Trust and Conversion!
​ Want More Information? Visit - www.vestabp.com​ // Text - 216.577.5579 // Email - phil@vestabp.com

 

            Convert Prospects Into Clients  

Want to Convert More Prospects into Clients in a Shorter Period-of-Time at a Reduced Cost? 
​     We, Eureka!! have a solution for 4 critical problems facing most Companies like yours:
​               > Converting Qualified Prospects into Profitable Clients
​               > Shortening Selling Cycles
​               > Reducing Client Acquisition Costs
​               > Increasing Revenues and Profits on a Turnkey Basis - (No Tech or Social Media Required)

Let Your Prospects Know What Differentiates Your Company
In Your Marketplace? 
​ Let Them Know Your Specialized Areas of Expertise and What You Can Do For Them!?
Eureka!! offers Proven Strategy to Tell Your Story and Convert Prospects Into Clients –
​                 We'll Set Them Up & You Knock Them Down!
CHECK OUT EUREKA!! - www.vestabp.com

Employers - It's Time For a 2nd Opinion On Your Health Plan Design & Cost - You Can Save!

As An Employer, You Don't Have To Accept The Best Health Plan & Pricing That Your Broker Has To Offer! 

You Can Save 25% or More!

Get a 2nd Opinion - It's Never To Late - You Can Change Anytime with No Penalties & Start Saving! 

Our Vesta Team - 3 Companies Working Together - is Changing the Way Small and Large Employers Buy Health Plans and Control Costs!

Why? -- To Save Employers an Average of 25%, Year-after-Year, Compared to the Traditional Insurance Carrier Marketplace!

The Basics! -- Our experienced Third-Party Administrator negotiates Direct Contract-Based Pricing with Hospitals, Medical Centers, other Health Care Providers and Suppliers Controlling the Supply Side!

 We focus Employee Choice combined with Education, Communications, a Selection of Enrollment Methodologies, and Data Management for the Overall Benefit Plan!

This Strategy eliminates the need for a Traditional Insurance Carrier - and others - as middlemen. Our Plan includes: Customization, Flexibility, Transparency, Enhanced Benefits, and Choice with NO TAKEAWAYS.

Let's Speak - Contact me with a Day & Time - I'll Reply to Confirm!

Like More Info – Contact Phil &/or Send Your Contact Info:

Text/Mobile: 216.577.5579 . Email: vestalimited@gmail.com .  

Web: www.vestabp.com

________________________

Don't Be Deceived - Employers Can Substantially Reduce Health Plan Costs and Have Enhanced Benefits!

 It's Time for Employers to Rethink Their Organization's - and Broker's - Strategies and Plans for Sustainably Reducing the Cost of Health Plans      and Employee Benefits!

How – Employers should start with Controlling the Supply Side Costs! Save 25% or More! 

It's possible! Hospitals, Medical Centers, Health Care Providers and Supplies have long been billing and raising prices at will! A lack of transparency makes things worse. 

Insurance Companies do little to contain costs!! They pass them along to Employers and Employees!

A Previous Attempt To Control Costs That Didn't Work!

> Reference Based Pricing (RBP) was a good start but was flawed. The problem was Balance billing that occurs when providers bill a patient for the difference between the amount they charge and the amount that the patient’s insurance pays. The amount that insurers pay providers is almost always less than the providers “retail price.” Some providers will bill the patient for the difference, or balance; this is called Balance Billing.

A Plan To Control Costs That Works!

> Contract Based Pricing (CBP) has solved the problem of Balance Billing. CBP in conjunction with expanded services will save your organization over 25% on Health Plan Costs with: 1) Enhanced Benefits, 2) Reduced Administrative Time/Costs and 3) No Employee Benefit “Take Aways”! 

How does a Contract Based Pricing Plan (CBP) Work?

CBP Plans are based on a formal pricing agreement between Healthcare Providers/Suppliers and an Organization (generally a specific large Employer or a TPA on behalf of their Client Employers) that specifically establishes significant discounts for services rendered. 

Why have your Brokers failed to present the CBP Plan to you?

There are three simple reasons: 1) They have not heard about and researched the CBP Plan alternative to traditional plans 2) They don't understand the concept or confuse it with the above mentioned Reference Based Pricing (RFP) Plans or 3) They are concerned about their reduced commissions/fees! 

Note - Employers can implement a CBP Plan - and begin saving - at any time during a year! 

If you have already accepted the Best Your Broker Had to Offer - or are in the middle of a Plan Year - No Problem! You can start saving now with No Penalties to your Organization or your Employees!

Check Out the Flier below for more Info - It's Time for a 2nd Opinion!!

Let's schedule a time to discuss the above and your options -- 

Phil Eide -- Message/Text - 216.577.5579 / Email - vestalimited@gmail.com