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Cost Management


Specialized Networks and Care Management Services

 

Access to organizations for care management services and specialty networks with contracts for services with leading university and medical centers for:

 

   Transplants (access to four national networks at discounted rates)
   Congenital Heart Disease
   Cancer
   Kidney Disease
   Bariatric Services

Disease Management

 

Services and resources to assist health plans and other risk-bearing organizations with managing high cost, complex, chronic medical conditions.

 

   ING Reinsurance has contracted with organizations that provide expertise, resources and coordination with disease management vendors based on your needs.
   As an ING Reinsurance client, you will have access to expert consultants, resources and competitive pricing at a fraction of the cost of directly accessing these services.


High Cost Drug Discounts

 

Pharmacy vendors that provide competitive discounts for high cost medications that are necessary for the care and management of patients with:

 

   Hemophilia
   Growth Hormone Deficiency
   Cancer
   Multiple Sclerosis
   Gaucher's Disease
   Hepatitis
   Organ Transplants
   Other chronic conditions not limited to those listed


Reducing Claims Costs - Pre-Payment

 

Discount opportunities prior to claims payment

 

National Repricing Networks -
Reprice and reduce out-of-network medical claims for hospital, physician and ancillary services. Due to the volume of claims they process, these networks are able to obtain discounts from more than one million health care providers across the United States, and out-of-country.

 

Medical Bill Negotiation Services -
Case-by-case negotiations by experienced negotiation specialists to obtain discounted rates for hospital and professional services without the use of national networks.

 

Reducing Claims Costs - Post-Payment

 

Potential claim discounts after payment has been made

 

Medical Bill Audit Services-
Review of medical bills suspect for inaccurate/inappropriate charges, using a comprehensive database of usual and customary charges. In addition, they provide negotiation services to recover losses due to errors uncovered from audit results.





 

 


ROSE Savings Information