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Alter-Net Reference-Based Pricing NETWORK

 

USA Managed Care Organization, Inc. (USA MCO) introduces Alter-Net Medical Services, Inc.  Alter-Net offers self-funded employer groups and insurance companies a predictable payment model through Alter-Net’s Reference-Based Pricing Network.  Employer Groups, Providers and Payors alike are not exempt from the pressures of rising healthcare costs and the administrative issues with lack of transparency.

 

  • Eliminates balance billing and litigation by securing contracts with facilities and providers.
  • RBP rates based on Medicare plus.
  • Predictability – costs and payments are pre-determined; the plan and the patient are better able to anticipate and handle healthcare expenses.
  • Fair pricing for both Provider as well as Patient.
  • Self-insured and self-funded employer groups educate their employees on pricing/payments and what the employee owes (less unexpected and unprepared patients).

 

This predictable payment model reimburses based on a percent of current year Medicare rates. Alter-Net’s intent is to connect local providers with neighboring employer groups and insurance companies to promote transparency in reimbursements and ensure providers are paid fairly and timely.

 

For more information about Alter-Net’s Reference-Based Pricing Network, please contact USA’s Contracting Department at 800-872-0820.

USA Managed Care Organization

 

With over thirty years experience in the managed care industry, USA Managed Care Organization is committed to providing innovative, practical and cost-effective strategies for its clients. USA's integrated corporate structure and support system enables the continued growth in the group health and workers' compensation markets.

Health and Wellness

 

USA MCO offers our clients and patients a fully-accredited and thoroughly integrated medical delivery system offering national strength, leverage and flexibility.

 

Workers' Compensation

USA MCO offers a proven package of cost management services including its National PPO Network specifically designed for Workers' Compensation.