This plan utilizes the practices of reference-based pricing to negotiate costs, delivering the steepest possible savings. Lucent's Value-Based Payments plan bundles the RBP approach with a care offering to deliver a superior member experience. We walk hand-in-hand with the member, negotiating with providers and facilities, and helping the member navigate any questions or challenges they face as they receive care.
Medicare is the rate the government reimburses hospitals and is the best price a hospital offers for its services. National insurance companies however, typically reimburse inpatient and outpatient hospital claims at 2 or 3 times the cost of Medicare. This plan utilizes the practices of reference-based pricing to negotiate costs and get you much lower prices at 140-150% the cost of Medicare. For every claim dollar submitted for reimbursement, we have delivered $.70 in savings. That leaves the employer paying only $.30 per $1 submitted.
As with any innovative healthcare solution in the current disruptive market, there is always the potential for challenges to arise. In the one percent of claims where a provider or facility does not honor a VBP discount, Lucent Health will negotiate on your behalf to settle the payment. Our care team is here to help your members with their VBP plan, access to providers, the billing process, treatment plans, or any other questions that they may have.
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