1Jackson CountyDecember 8, 2022
Agenda➢ Introduction and Background➢ Program Overview ➢ Sample Client Reports➢ Central Georgia Cost Comparison➢ Conclusion➢ Questions2
Introduction and Background➢ An Affiliate of Know the Costs® (KTC) has been an outpatient radiology provider > 20 years➢ Our affiliate’s experience revealed the reimbursement disparities between hospitals vs. outpatient imaging centers (100%+)➢ KTC and a predecessor product were started in 2016➢ The platform is built on proprietary software and is scalable nation-wide➢ KTC is currently serving members in 14 states3
Program Overview➢ Claims Analysis Benchmark➢ Implementation➢ Member Education➢ Price Transparency and Patient Choice➢ Reporting4KTC Member ID Card
Reporting38%62%Plan MixSelf-InsuredFullyUnderwritten$0.00$50.00$100.00$150.00$200.00$250.00HospitalCostKTC Cost Savings$236.72$88.28$148.44Per Member Per Year (PMPY) Savings(Last 12 Months)5
Client 2021 Savings6CostGeorgia County by Exam Type2021404 Total ExamsGeorgia County KTC Cost and Savings2021 by Quarter$482K Total Savings
Georgia NetworkCurrent Georgia KTC Providers7KTC Providers within 20 miles of Jackson County
Conclusion8➢ With a claims analysis, Know the Costs® can guarantee savings➢ Historically, all Know the Costs®clients have saved 20%+ on their radiology costs➢ We “stay in the picture” with respect to open enrollment and member educations
10Before KTC : Spend $100With KTC: Spend $75 Savings : $25Outpatient Radiology Spend
Questions10