Skip to content

What Is Care Network Repricing Insurance?

Care network repricing insurance or health insurance repricing is quickly picking up steam in the United States as a preferred insurance plan. There is undeniably a health insurance crisis in America. According to the U.S. Census Bureau, about 8.5% of Americans, over 27.5 million people, did not carry coverage in 2018. Out-of-pocket costs can get out of hand for those that are not insured. Luckily, care network repricing insurance is helping to solve the problem. Here’s how.

It Works Better for Everyone

Repricing insurance works better for everyone. Let’s say you go to the hospital. You get a bill from the hospital, but it seems high. You are not sure what costs are accurate and which costs are not. Care network repricing insurers evaluate the costs, look for errors, and can reduce costs. This type of insurance uses strategies to reprice medical care with much more favorable terms. Preferred Provider Organizations (PPO) are one of the most common strategies claim administrators use to keep costs in check.

It’s a Money Saving Plan

Health care network repricing insurance helps insurance companies save money, which is passed on to the individual. A repricing plan is an agreed fee schedule between the insurance and health care providers. The negotiated fee is typically much lower than those not negotiated at a fair rate.

One of the most common reasons medical billing is so high is coding errors. A miscoded treatment can significantly increase the cost of the bill. When you consider that millions of bills are generated every day, and if only a small percentage of those bills have errors, the cost of errors can be astronomical. Care network repricing insurance greatly reduces errors in billing.

It Establishes a Baseline for Health Care Costs

This type of insurance can help establish a baseline of fair pricing within the PPO and outside-of-network providers. By establishing benchmarks for pricing with in-network providers, out-of-network providers follow suit. It is a simple way to save.

Care network repricing services are the answer if you are searching for a better solution to manage healthcare costs. Do your research and contact a reputable firm today.