Webinar for TPA Owners: An Introduction to the Next Generation Medicare Plus Model

Nov. 14, 2013 - PRLog -- Third Party Administrators (TPAs) have long known the complexities behind PPO contracts.  An arbitrary discount off arbitrary pricing is not an ideal model for transparency and risk management.  Depending on which report you read, the national average charge for hospital services is 300-400% of cost, with several states approaching 500%.  While a TPA can flawlessly perform their plan administration duties according to the terms of the “contract”, a 25% discount on a 400% mark up is still price gouging.  A good Medicare Plus Reimbursement model changes all that.

Magellan Risk Management (Magellan) is pleased to be hosting a webinar to discuss the next generation Medicare Plus Reimbursement model (or more recently called Reference Based Pricing). Current models are labor intensive and often subject employers and their employees to balance billing and litigation risk, in addition to exposing the TPA to Fiduciary Risk.  Discussion points include:

·          Current models and their challenges

·          The need for scalability and efficiency

·          How to pay a fair reimbursement that is legally defensible in Court

·          How to insulate the employer, the employee & the TPA from litigation risk

·          An introduction to Carriers that will price your business aggressively based on this model, offering you many new possibilities for growth.

For TPAs who see the effects of cost shifting and can appreciate the value of Reference Based Pricing, this program is designed with you and your client’s best interest in mind.  To learn more, please visit www.magellanrisk.com  to register for our upcoming webinar, or email Kevin Brown directly at kbrown@magellanrisk.com

About Magellan Risk Management:

Magellan Risk Management is a Stuart, FL based consulting firm specializing in data analytics, business growth strategies and risk management programs.  As a Consultant to the Consultants, Magellan strives to offer it’s clients new innovations to increase productivity and profits.