PAYERS

“The IPG program helped us stabilize our premium trend and lowered our out-of-pocket expenses for our members, all while maintaining clinical quality.”
-Director of Network Contracting and Strategic Development
Health Plan Partner

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Manage Trend & Risk Exposure

Reduce average annual cost increases by protection from year over year pricing trend and access to incomparable transparency and analytics.

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Reduce Surgical & Implant Costs

Mitigate device selection risk and implant utilization risk to support overall cost of care goals.

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Shift High Cost Care

Drive site of care shift and optimal device selection to provide the most cost effective, high quality member experience.

Aetna Georgia Successfully Driving Reduction in Cost of Care

In this case study, we will tell you how Aetna, specifically the Aetna-GA market worked successfully with IPG, in conjunction with Kearny Street Consulting, Pinnacle Orthopaedics and several of their leading ASC partners to implement a targeted plan to shift outpatient procedures to an optimal cost and quality setting.

  • Millions in estimated Site of Care shift savings opportunity
  • Improved network strategy and market share growth
  • Significant Savings through movement of eligible care to optimal cost and quality settings

Hear About The IPG Experience and Results First Hand

Contact Us To Speak To One of Our Referenceable Payer Partners

IPG OFFERS THE DATA, EXPERTISE, DESIGN, AND
IMPLEMENTATION NEEDED TO BRING YOU REAL SAVINGS

0-30%
ACTUARIALLY VALIDATED SAVINGS

with market leading Health Plan clients

$0.44M
savings through
site of care optimization

in a 3 Million Member Plan over 15 months

$0-8K
savings per case realized
through sight of care

and identified using IPG Pathfinder 360 data

OUR SOLUTIONS
TO GROWING PROBLEMS

  • Meet Cost of Care Savings Goals

    Reduce surgical and implant costs through a medical expense management program with no administrative costs that provides transparency and capabilities to achieve cost of care savings goals and manage the drivers of medical expenses and utilization risk exposure under the Accountable Care Act (ACA), all while maintaining quality.

  • Lock In Your Surgical Cost Trend

    Trend & Price Protection, Implant & Surgical Cost Management
    Mitigate exposure to annual medical trend inflation due to rising costs of care and normalize costs that traditionally have dramatic inconsistencies in implantable device and procedure pricing.

  • Mitigate Utilization Risk

    Eliminate exposure to increased procedure inflation due to the demographic shift and baby boomer impact and identify opportunities to influence appropriate behavior while maintaining the highest quality standards.

  • Shift High Cost Care (bundled payments)

    Implement a proactive process where available procedures are performed in the appropriate setting, subsequently driving a more cost effective solution and alleviating sub-optimal sites of service costs and dramatic differences in cost of care between settings and providers.

  • Ensure Payment Integrity

    Incorporate technical expertise into the claims review process at a device and part level to ensure adherence to medical policy and avoid costs associated with inappropriate coding and billing.

  • Drive Value Based Reimbursement

    Realign incentives and integrate performance-based metrics into contracts to ensure the ability to manage to value based performance and reimbursement strategies while incorporating data into Quality Improvement, Narrow Network, Pay for Performance and other Contracting Strategies.

  • Lower Member Costs

    The move to consumer-driven health care is real and here to stay. Implement solutions designed to align care with employer groups, health care providers, manufacturers and other stakeholders who are also striving to achieve high quality and cost effective care delivery, in order to provide the best and most cost effective member experience.

  • Manage New Technology Risk

    Gain assistance in evaluating, managing, reviewing and tracking the rapid introduction and approvals of new technology.

  • Impact Decisions Prior To Care Delivery

    Implement the ability to proactively manage key clinical decisions before the procedure occurs and gain access to deep analytics to identify, track and manage behaviors and outliers.

What Are Your Plan's Top Savings Opportunities?

Let IPG Develop A Customized Plan to Identify and Prioritize
Your Surgical and Implant Cost Savings.
CONTACT US TODAY
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OUR SPECIALTIES

  • Orthopedics
  • Spine
  • Cardiology
  • Pain Management
  • Reconstructive Surgery
  • Podiatry
  • Urology
  • Ear, Nose, and Throat
  • Gynecology

Frequently Asked Questions

How does IPG enhance my network strategy?

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How does this fit into medical expense ratios for ACOs?

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What does an implementation look like?

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Would this cause market disruption?

How would I get started?

Does this really generate results?

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How quickly can I expect results?

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Benefit design?

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Impact to employers?

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How does this compliment my overall cost of care initiative?

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How does IPG help with implementation?

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What are the member benefits?

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How does this positively impact my cost of care?

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Network strategy?

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