Lucent Clarity

Now Employers can get on track with Lucent Clarity™ and Value-Based Payments

Healthcare is a benefit, not a burden
Lucent Clarity™ is our most aggressive health plan savings solution. This plan provides a way to tie costs to the market and drive significant savings while actively promoting and improving Member wellness as well as reducing overall claim count.

Member Care for that just works
Lucent Clarity makes it simple for Employers by:

  • Repricing claims (in or out of network) at a percentage of Medicare vs. only a cost minus discount.
  • Ensuring claims are always paid at 140% to 150% of Medicare; the other guys typically change 200% to 300% of Medicare!
  • Allowing for more appropriate and aggressive methods to manage and reduce unnecessary care.

What does it all mean? It’s simple: for every $1 submitted for reimbursement, Lucent Clarity delivered $.75 in savings! The Employer only paid $.25 for each $1 submitted!

ADVANTAGES

Lucent Clarity™ delivers health plan claim savings up to 80%. These claim savings deliver from 15% to 30% in savings over a traditional health plan offered by the national health insurance carriers. Clarity is the only way to know the true cost for hospital services and to use that knowledge to drive down plan costs. Several benefits include:

CARE

Fully integrated and proprietary clinical and care management solution that put the member's care and experience above all

CONTROL

Ability to intelligently influence member behavior

REDUCED COSTS

Secures lowest plan cost by combining reference and medicare-plus pricing, fixed fees and stop loss discounts

PRICING

98% facility acceptance of the reference price

How It Works

1
Provider orders procedure.
2
Clarity confirms procedure is medically necessary.

Clarity obtains the pricing before the procedure, including all pre-certification activities, coordination and communications.

3
Clarity secures facility approval for procedure and for zero-balance pricing.

As needed, Clarity will smoothly coordinate an alternate facility.

4
Clarity keeps the Member informed.

Clarity uses a single-Member point of contact and works with the Member and his/her family in all aspects of pricing, scheduling, pre-cert and case management.

1
Provider orders procedure.
2
Clarity confirms procedure is medically necessary.

Clarity obtains the pricing before the procedure, including all pre-certification activities, coordination and communications.

3
Clarity secures facility approval for procedure and for zero-balance pricing.

As needed, Clarity will smoothly coordinate an alternate facility.

4
Clarity keeps the Member informed.

Clarity uses a single-Member point of contact and works with the Member and his/her family in all aspects of pricing, scheduling, pre-cert and case management.

Lucent Clarity™ Who's paying your claims?

Never worry about paying incorrectly priced claim. We use technology, claim processing expertise and an insightful take on claim processing methodology to provide the very best discounted claim price while you enjoy peace of mind.