Regulatory Compliant, Patented Solution
Founded in 2006, we are the only company with a patented solution for the cost containment of End-Stage Renal Disease - USPTO #8457982 was received in 2013 after a five-year governmental review process. Our unique program is compliant with the Affordable Care Act, Medicare Secondary Payer Act, HIPAA, and the Americans with Disabilities Act.
Time-Tested Appeal Process
Since our inception in 2006, we have saved our self-funded health plan clients more than $140,000,000. Over the course of this time, we have successfully defended more than a thousand appeals by dialysis providers attempting to challenge our methodology. Time-tested, proven performance.
Gain Competitive Advantage
Competition in the benefits marketplace post-PPACA has never been greater. Carrier ASO and network products are aggressively pursuing market share growth in the self-funding market. Independent TPAs will succeed against the BUCAs by providing better service and cutting-edge cost containment solutions. TPAs that offer our patented program can save their clients an average of $590,000 per dialysis member annually. Win more business by saving clients on expensive dialysis.
Easy Implementation - We Do The Work
Simple. Easy. Fast. Our solution is turn-key. We have all of the tools and operational capabilities to help you get your clients up and running with our program in a matter of days. We take care of everything.