#the open solution

Why do you continue paying outlandish premiums for your insurance plan? Why do your premiums go up every year? What if there was a way to keep employee premiums down without lowering benefits or raising deductibles? You need a smart alternative to the typical PPO network discounts that hardly make a difference in terms of cost savings.  What if instead of “top down discounts” on your bill you were paying a fair and reasonable price from bottom up? This would bring charges for things like MRIs, medical supplies, and procedures such as dialysis to a more reasonable level.

The Open Solution™ obtains massive savings off of billed charges. With the help of ELAP Services we protect you and your precious healthcare dollars by auditing and re-pricing each and every medical facility bill that contain exorbitant charges. We advise our clients to purchase health care in the same manner they buy everything else: with transparency and a clear relationship between cost/value and price.

ELAP Services analyzes bills based on criteria such as what hospitals bill Medicare patients. Using a hospital’s own financial filings, ELAP isolates billing errors and outrageous charges for small items, such as $75 gauze pads. When faced with this documentation hospitals accept the lower payment most of the time.  ELAP also offers a co-fiduciary relationship to provide legal defense if balance billing occurs, and defends plans and individuals from unfair and illegal collection practices by medical facilities.

Check out what happens to a hospital bill after ELAP Services audit and re-prices it:

Unfortunately, most PPO discounts offer minimal savings. Usually PPO networks save you an average 25% off the billed amount. This means if you were to take same bill from above you would have paid $9,583.50 under a traditional PPO network discount. By having the bill audited and re-priced we were able to save the company 84% off the billed amount or $10,709.22.  We dare you to try to find a PPO network discount that will help your company more than our audit and re-pricing services.  

                            Now is the Time to Pay Less for Health Care! 

The unrelenting trend in health plans is a spiraling and unsustainable inflation rate in medical costs.  We all know this and are aware of the outrageous charges to medical bills every day, and usually it’s the employer who ends up paying for health care.

“American employers have arguably become the sloppiest purchasers of health care anywhere in the world.”  – Uwe E. Reinhardt, economics professor at Princeton University

Employers need a smart alternative to the typical PPO plans that barely scratch the surface in terms of cost savings.  What if instead of “discounts” on your bill you were paying a percentage of profit from the bottom up?  No more $1,000 toothbrushes, $20 tissues, or occupation and speech therapy for a newborn (true story).  No more outrageous charges for MRIs and other tests and procedures like dialysis, radiation, etc.  

Dr. James Robinson , Director of Health Policy, University of California Berkeley said,  “The only way to pay less for health care, is to pay less for health care.”

The Open Solution™ obtains savings of up to 79% off of billed charges. We protect you and your precious healthcare dollars by auditing and re-pricing claims with exorbitant charges. This allows us to make some of the best employer’s health plans that include:

Access physicians through a national network – see any provider you like

Fair Claims pricing – claims are audited for extreme mark ups and re-priced

Co-fiduciary Protection

Stop-loss coverage that results in significant premium reductions

We believe that employers should be paying for medical goods and services in the same manner that your corporation buys everything else – with transparency and upfront knowledge of costs.

Substantial Healthcare Savings

We have told you we save our clients money, but we thought we had better show you the substantial healthcare savings that The Open Solution provides our clients. Here is one example how our customers from across the country, experience  90% of the invoiced services, to 50% off the services rendered. Our audit and re-pricing formula proves we can give you a larger discount than regular PPO discounts.  

Substantial Savings  

We have told you we save our clients money, but we thought we had better show you the substantial healthcare savings that The Open Solution provides our clients. This is just an example of  how customers from across the country, whose savings ranges from nearly 90% of the invoiced services, to 50% off the services rendered. The big question is does your PPO discount save you this much?  

Home Furnishings Company – Experienced a 40% savings the first year after implementing new plan ($2.5M reduction on previous $6M expense). With 180 stores in five states, the company’s 1,800 employees are free of PPO network restrictions. Eliminating the burden of assembling a multi-state network has greatly simplified the health insurance plan and reduced costs. The Open Solution™ savings example: Reduced $140K hospital bill to $12K – a savings of more than 90%.

 NICU baby in Utah – The Open Solution™ saved one company from paying a $1.3 million dollar claim, using an auditing and re-pricing method. Their total payout was only $187,277.33, an 87% savings off of billed!