USA Managed Care Organization, Inc. (USA MCO) introduces Alter-Net Medical Services, Inc. Alter-Net offers self-funded employer groups and insurance companies a predictable payment model through Alter-Net’s Reference-Based Pricing Network. Employer Groups, Providers and Payors alike are not exempt from the pressures of rising healthcare costs and the administrative issues with lack of transparency.
Providers that partner with Alter-Net through USA MCO will benefit from transparent claims payments, timely payments, and elimination of administrative costs from “chasing” reimbursements. Some of the standards that further distinguishes Alter-Net are as follows:
- Predictability – costs and payments are pre-determined; the plan and the patient are better able to anticipate and handle healthcare expenses.
- Fair pricing for both Provider as well as Patient.
- Self-insured and self-funded employer groups educate their employees on pricing/payments and what the employee owes (less unexpected and unprepared patients).
This predictable payment model reimburses based on a percent of current year Medicare rates. Alter-Net’s intent is to connect local providers with neighboring employer groups and insurance companies to promote transparency in reimbursements and ensure providers are paid fairly and timely.
For more information about becoming a contracted Provider, please contact USA’s Network Development Department at 800-872-0820.