Lucent Health has saved the client millions of dollars.
About the Client
A federal contract was published 17 years ago in search of a vendor partner to help reduce their claim costs. They are national in scope and have approximately 65,000 members covered under the contract at any point in time.
Pain Points & Priorities
The client at that time was paying billed charges for their claims. They wanted to team with a partner that could handle real-time eligibility, and have a PPO network that could deliver national coverage and good discounts as well.
Why Lucent Clarity?
Lucent Health teamed with the federal prime contractor to perform all the back-office duties required to manage the claims. We were able to demonstrate the ability to provide exceptional claim turnaround time and quality in addition to the extensive reporting requirements of the contract.
Impact & Results
Initially through the application of a national network Lucent Health was quickly able to achieve significant cost savings of approximately 36%. After several discussions with the client, and some legal language Lucent Health assisted in getting passed in Congress, we were to able process the claims at Medicare reimbursement rates which tremendously increased client savings. Over the course of the contract Lucent Health has saved the client $1.15 trillion dollars.
Lucent Health developed an online portal for the field offices and corporate team to track day-to-day results significantly reducing the amount of paper required for the plan. A new version of the online portal is in development that will provide more tracking and advanced reporting capabilities.