TAKE BACK CONTROL AND
CAP YOUR COSTS
WHAT IS A REPRICING FEE?
(AND WHAT IS IT COSTING ME?)
A repricing fee is paid in exchange for the reduction of the amount owed on a medical bill. The fee is typically
calculated as a percentage of the amount saved by the 3rd party discount network or repricing company.
While discounting bills is critical and the net result is usually beneficial to the insured, the fees can account for
thousands of dollars that are factored into the annual claims totals. Over time, they can drive your premium
up. The industry-leading claims discounting companies charge 18-30% (of savings) on each bill that is repriced.
THE COST CAP ADVANTAGE
Repricing claims is costing you thousands and you may not even see the associated fees.
With Cost Cap™, you will know exactly where every dollar of your medical spend is going, including repricing fees. Our proprietary
methodology combines various techniques that have proven to reduce medical spending.
Additionally, your program will have claim by claim oversight to ensure that medical procedures your athletes receive match what you are billed for.
While we can't eliminate repricing fees entirely, we've proven the short and long-term savings to be substantial.
PROVEN SAVINGS
We were granted access to detailed information on 45 real athletic insurance claims (totaling $160,006 in billed charges) from an industry-leading carrier and went to work in reprocessing each bill with the Cost Cap™ methodology.
Here's what we found:
THE SOLUTION
HELP US PROTECT THE ARCTIC
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Reducing industrial impacts
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Working together
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Monitoring populations
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29%
8700 Indian Creek Parkway
Suite 320
Overland Park, KS 66210 USA
© 2020
45 Bill review from an industry-leading carrier
The Cost Cap™ Method, Pre-Cap
Billed charge for surgery:
$22,850
Reduced billed charges with UCR review:
$18,780
PPO Discount/Savings (60%):
$11,268
Cost Cap repricing fee (16% until CAP is met):
$1,803*
Total Paid by your program:
$9,315
THE IMPACT OF COST CAP
Standard Athletic Insurance Program
Billed charge for surgery:
$22,850
PPO Discount/Savings (60%):
$13,710
PPO Fee (25% of savings):
$3,427
Total Paid by your program:
$12,567
Greater Savings
than a traditional ICS program
GET YOUR FREE EVALUATION & COST CAP QUOTE NOW!
Ready to Start Saving? 800-386-9183
We have taken the ambiguity out and proven that this method of repricing will save you money.
That's an ADDITIONAL Savings of $45,698!!
29%
Greater Savings
than a traditional ICS program
66%
Net Savings
with Cost Cap after primary insurance payments
97%
Reduction
in repricing fees on a $45,000 surgery bill once Cost Cap is met
29%
Greater Savings
than a traditional ICS program
66%
Net Savings
with Cost Cap after primary insurance payments
97%
Reduction
in repricing fees on a $45,000 surgery bill once Cost Cap is met
BACKED BY LEADERS
Mutual of Omaha has been a cornerstone in the athletic insurance market for
40 years and is excited to partner with 38-year industry veteran, Dissinger
Reed, on this revolutionary new way of processing athletic insurance claims.
Cost Cap™ is unique in many ways but one of the keys is that Mutual of
Omaha serves as BOTH the insurance carrier and the claims administrator, further reducing your annual expense.
Have confidence that the stability of Mutual of Omaha and the innovative approach of Cost Cap™ will improve your program.
LIMITED AVAILABILITY
Due to the unprecedented demand we had for Cost Cap™ in 2020, there will be a limited number of institutions
eligible for this new program this year.
Our goal is to be sure your program is a fit for Cost Cap™ and to ensure we are able to maintain world-class service to all our clients. To make sure your program would be a good fit for this proprietary program, simply complete the form below and we'll reserve your spot in line as scheduled demos become available.
$45,000 SURGERY BILL
- $22,000 (REPRICING SAVINGS)
+$5,500 (25% REPRICING FEE)
= $28,500 TOTAL PAYMENT