The Problem:Big insurance companies and high-costhospitals have created "medical cartels". This means much higher costs for bothmembers and employers!
3 The Know the Costs® Solution: a) give members a choice among providers b) lower or even eliminate members' costs c) lower costs for employers
I. Outpatient RadiologyI. Outpatient Radiology
of radiology exams are done byproviders who charge above-marketprices.11Becker's ASC Review July 1, 2021 estimated that nearly 70% of MDs are employed by hospitals or multi-specialty clinicscompared to <47% in January 2019 (23% increase in < 2 1/2 yrs.).Radiology costs can exceed of outpatient expenses. 1513%70%
No surprise medical bills for MembersNever, ever, EverKnow the Costs® Radiology Benefits cost for Members savings on Client Claims$0 25%+ 6
$ 0Co-payDeductibleCo-insuranceNuclear Medicine Bone DensityMRI PET CT Digital X-Ray Ultrasound 7
5 6Our Clients include:MunicipalitiesManufacturersFood ProcessorsEducational SystemsDistributorsTruckingProfessionals UtilitiesKnow the Costs® Operates Outsidethe Carriers' Plan Designs 8
Know the Costs® Uses a Selective Subsetof the Carriers' Provider Networks24 States and Counting!9
MRI $925Hospital MRI$2,800CT $825Big Picture SavingsOutpatientRadiologyCostsTypical MRI, CT Cost Savings Hospital CT$2,40010Most clients will save 25% +Savings
II. Outpatient SurgeryII. Outpatient Surgery
Outpatient surgery canexceed of total outpatient expenses - farhigher than they should be!Outpatient Surgery1236%
Members bear adisproportionate financialburden due to co-pays,high deductibles, and co-insurance.13
14Know the Costs® members mayenjoy on both radiology andoutpatient surgery. $0Know the Costs® can determinewhat fair market rates should befor outpatient surgery inaccredited facilities.
III. Price TransparencyIII. Price Transparency
Know the Costs®offers Price Transparencyon payments toproviders! 100%100% 16
Price Transparency for MembersWhat will my Procedure Cost Me?Free SavingsConsultation Based onReal-Time Member Benefits17
Detailed Accounting of ALL Payments to ALL Providers Price Transparency for Clients18
IV. Member EngagementIV. Member Engagement
Easy ImplementationMember participation is always optional. No changes to carrier plan designs.Employer pays a lower cost.3Fewer claims from high-cost providers22Know the Costs® is an out-of-network benefit320
Easy Implementation1Member census sent to KTCM e m b e r C a r d12KTC mails enrollment guides + cards to members21
Member obtains MD order.Using Know the Costs® Member submits MD order and appointment requestvia a.) Know the Costs website or b.) requests a text with a secure link.®® A Know the Costs network provider contactsthe member to schedule their appointment.22
PhoneEmailSMS MessagingApple AppMember EngagementKnow the Costs® members can alwaysconnect with a Care Advisor:23
Ongoing Member EngagementKnow the Costs® regularly educatesmembers about savings:Member Guides Direct Mailings Newsletters Emails 24
A Know the Costs® advisor explained to apoliceman how he could save $1,700 on anMRI. His wife called later to thank us andexplained how important $1,700 was to thefamily budget.Member Feedback An advisor received the following message froma member."I wanted to thank you again for yourpersistence in helping me with getting anultrasound scheduled. I also wanted to let youknow the facility was an amazingexperience...Thank you again for everything youdid to facilitate making this happen!"25
V. MetricsV. Metrics
Customizable Reporting$150$15027
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