Page 13 - IBA Demo

It’s Your Plan, So Why Not Utilize IBA’s Cost Reduction Solutions
Why Not...
• Utilize pre-certi cations to deter over utilization (diagnostic exams, elective surgeries, etc.)
• Implement place of service restrictions (no diagnostic testing covered in-hospital, must go to a free-standing participating facility)
• Integrate specialty networks where applicable (transplants, dialysis, ambulatory surgery centers, etc. )
• Promote participating urgent care centers at zero copay (vs. high cost emergency room visits)
• Incorporate high deductibles on inpatient hospital stays which allows for large discounts on stop-loss rates
• Utilize Referenced Based Pricing which has lower provider payments—based on a % of Medicare rates
• AND MORE 13
COST REDUCTION SOLUTIONS