Maximize savings and optimize penetration
By directing new and recurring transactions to our nationwide provider network, payors using MSC CareSync+ save on both open and future referrals. Contracted rates within our network are on average 20% below rates billed directly from providers.
Without a comprehensive bill management solution, most payors report an average of only 35% in-network purchasing, meaning the majority of purchases are made at higher out-of-network rates. With MSC CareSync+ bill management, MSC associates work with customers to achieve a goal of 75-78% overall in-network penetration, delivering savings our customers can see.
MSC’s bill management solution identifies opportunities for reduced product and service pricing at any stage. At no extra cost, customers can take advantage of MSC CareSync+ for prospective, concurrent and retrospective evaluation.
Prospective Referral Management
Insight That Saves
MSC CareSync+ shows customers how to access lower rates by increasing in-network referrals. Informed adjusters reduce spending through MSC’s pre-negotiated discounts and recommendations for DME generic conversions. Initiating cases with MSC ensures savings from the very beginning.
Provider Relationships Deliver Cost-Effective Options
Re-pricing on ongoing referrals will reduce spend by identifying lower-cost providers or by negotiating a reduced rate with the current provider. Unpaid invoices are sent to and reviewed by MSC. We maintain our network integrity because we never impose retrospective reductions that providers have not explicitly agreed to accept.
Retrospective Soft Channeling
Invoice Analysis for Future Savings
We channel future transactions in-network for customers who share monthly reports of comprehensive spend data with MSC. We are able to identify missed opportunities for savings by carefully reviewing each customer’s spend data on recurring products and services after the initial provider invoice has been paid.
We provide customers reports on:
MSC delivers comprehensive care management through its technology-driven solutions - including MSC CareSync+ - offered to all customers at no additional charge.
In-network vendor penetration and leakage
Use of vendors outside of our contracted network
Overall penetration results
Penetration and leakage by employer
Penetration and leakage by vendor