Narrow Network Plans & Integration

Healthcare bills are frequently inflated by up to 500% for private payers versus Medicare and Medicaid. Numerous industry leaders have taken notice and are looking to change the healthcare reimbursement model. Clients that opt to incorporate various cost-saving strategies, whether Reference Based Pricing, Narrow Networks, Centers of Excellence (or a combination of these), will find a welcome partner in ICM. Furthermore, we have exceptional partnerships with entities that provide these types of services so we can make introductions when needed. Healthcare is rapidly changing, and ICM is actively embracing and promoting these much-needed solutions.

Narrow Network

Care is simply becoming more and more unaffordable for Americans. With healthcare inflation significantly outpacing worker income over the past 50 years, we choose to be proactive and stand up to such figures. By adapting to and embracing alternative reimbursement models, self-funded clients can save over 30% on their healthcare without sacrificing quality care and positive outcomes.

At ICM, we cherish our total independence from outside ownership. This allows us to leverage our freedom from conflicts of interest and to support the Narrow Networks approach. This ensures you receive paramount clinical outcomes at significantly lower costs. This plan is available to all of our Plan sponsors who are interested in challenging the healthcare status quo.

The Benefits of Narrow Networks

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For Patients

  • Lower out-of-pocket cost.
  • Superior clinical outcomes by truly evaluating outcomes rather than the lowest price.
  • Lower premium than traditional plans.
  • Ambulatory Surgical Centers have lower infection rates than hospitals, making it a safer option.
  • Member advocacy for navigating the healthcare system, so you can focus on what’s most important.
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For Clients

  • Pay substantially less premium than a traditional plan.
  • Controlling premiums means spending money on the rest of your business and increasing overall employee benefits.
  • Employees will have a higher rate of participation at work.
  • Improved employee morale.
  • Opportunity to create a choice.

Your Questions Answered

For years, many health plans have relied on national or regional PPO networks to provide discounts on services. While these arrangements offered broad access to providers, there was little oversight on quality and outcomes and the “discounts” were often benefiting only the insurer, leaving the member to bear increasing responsibility for the service through higher co-pays and out of pocket contributions. Some innovative plans are now pursuing narrow networks or specific contracted providers to better control outcomes and manage cost, both for the health plan and the health plan member. ICM works with these health plans to provide information and support to the health plan member to figure out how to maximize their benefits under the health plan.

Why Choose Innovative Care Management?

At ICM, we do healthcare differently. Our top priority has always been to give our patients and clients the best quality care at an affordable price because we believe every single member we work with deserves nothing less. Our compassionate care and non-adversarial approach are why we retain more than 97% of our client base every year.

If you’re looking for medical management services that can successfully integrate with other plan vendors to support timely, appropriate, and cost-effective solutions to deliver not only the best outcomes but at substantially lower costs for both plan sponsor and member, reach out today to speak with an ICM team member.

Learn More About Narrow Networks

We work with clients and patients across all 50 states, and our focus is on delivering a premium service with a compassionate approach. 

Call us today to learn more about our Narrow Network services. 

Learn More About Narrow Networks

We work with clients and patients across all 50 states, and our focus is on delivering a premium service with a compassionate approach. 

Call us today to learn more about our Narrow Network services.