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Nobody else in North America offers transparent, predictable, pre-negotiated, surgical case rates at 4500 hospitals and 9000 ambulatory surgicenters for a wider variety of procedures

We set the standards for medical tourism in the USA.

The only national Accountable Care Organization (ACO) in North America purpose-built for self-funded employer group health travel benefit management

  • Ready for direct-to-employer disintermediation

  • Embedded TPA with 5010 electronic submission, bundled case rate payment, medical management, claims audit, utilization management, and EFT, ERA provider payment

  • Published facilities contracting standards and participation criteria

  • Published physician credentialing and privileging contracting standards and participation criteria 

  • Primary source verification of all health providers - to nationally accepted managed care standards

  • Integrated, cloud-based globally integrated medical records supported by artificial intelligence combining patient data aggregation with knowledge of optimal actions derived from big data analysis

  • Integrated best-of-breed predictive modeling and healthcare analytics for benefit utilization projections

  • Integrated pre-operative and post-operative medical management

  • Full-continuum episode of care outcomes measurement according to nationally accepted criteria

  • Monthly clinical and financial outcomes reporting

The most comprehensive health travel provider network infrastructure in North America!

 

 

YOUR ONLY GROUP HEALTH BENEFIT SOLUTION FOR USA HEALTH TRAVEL

The largest "globally integrated health delivery system®" in the world.

•       6000 inspected hospitals

•       800,000 vetted physicians

•       9000 ambulatory surgery centers

•       imaging network w/ statewide flat rate pricing

•       substance abuse /rehab network

•       physical & occupational therapy

•       hearing network

•       lab network

•       alternative health network

•       pharmacy discount card w/rebates

•       globally integrated electronic medical records

•       predictable case rate pricing

•       global implant quality & safety registry

•       complete logistics coordination

•       complete medical case management

•       full-continuum episodic outcomes measurement

•       post-operative follow up coordination

•       limited scope TPA services

•       providers in all 50 states & all territories

•       discounted travel arrangements

•       concierge level customer service

•       integrated predictive utilization modeling

•       integrated remote telehealth 2nd opinion service

•       integrates with My Health Savings USA™

 

PEPM GLOBAL NETWORK ACCESS

AVERAGE SAVINGS VARY BY CASE AND LOCATION

PLEASE CALL US TO LEARN MORE: 800.727.4160