Our Model

Successful execution of any project starts with having an expert on your side who understands your organization’s specific needs.

FlexPoint Health has been providing contract rate intelligence to hospitals, physician groups, and provider-owned health plans throughout the country since 2010. We know what strategies work best to help our clients get the data they deserve.

Our contract rate intelligence will show you what each insurer reimburses each provider in a given market. You determine how much data you want and we will deliver.

When we begin work with an organization, we follow a few clear steps to get you what you need. Full project completion can take as little as two to six weeks, and we conduct the first three steps at zero cost to you and in under a week’s time.

Understand your goals. Whether you’re looking to gain an edge for negotiations, entering a new market, or simply just want to know exactly how your rates compare with your competition – understanding your strategy is a core part of our process.

Define the scope. Which market, hospitals, physician groups, insurers, and procedures are you interested in? Are you interested in knowing only certain hospitals or insurers in the market? Are you only interested in select procedures like CT or MRI or are you interested in the entire contract rate sheet?

Propose our strategy. We have served clients in small towns, medium-sized cities, and metropolitan areas throughout the country. To develop an approach that will be most effective and efficient, we will perform our due diligence and familiarize ourselves with local market demographics, ultimately customizing a specific strategy to meet your need.

Run our playbook and generate results. FlexPoint will launch an advertising campaign to reach the patient population. All of our advertisements to reach patients are branded with our wholly-owned subsidiary name.   Patients respond to our ads by calling our own internal BBB-accredited call center, which is comprised of healthcare industry experts and available 7am to 11pm, 7 days per week. Our team screens callers to determine if their hospital visits meet our data needs. If so, we compensate the patient with check payment immediately upon receipt of their insurance EOB and hospital detail bill that was submitted by the provider directly to the health insurer in order to receive claim reimbursement. We examine the patient claim documentation to determine the contractual reimbursement rates, summarize our findings, and report the results directly to you.

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Legal

Our contract rate intelligence procurement process adheres to the highest level of ethical, legal, and privacy guidelines.

FlexPoint Health procures 100% of its contract rate claims data directly from patients, who have a legal right to review their information under HIPAA and who have a legal right to provide that information to FlexPoint. We do not obtain any information through any agreement with, or directly from, any healthcare providers or third party insurers. Our product does not violate antitrust laws as long as the purchaser of our data uses it for its own use such as internal analyses, discussions, and negotiations with insurers, providers, employers, and other parties. Purchasers of our data may not share the information with competitors or use such information to join with competitors in any type of pricing collaboration. Unilateral action by a single provider or insurer does not violate Section 1 of the Sherman Act.

Confidentiality

Our style is to discretely perform our work in any market. All of our advertisements to reach patients are branded with our wholly-owned subsidiary name and it is never disclosed to patients the identity of organizations to whom we supply our data. Nobody will ever know that we are working for you except for our executive team. Further, we do not disclose which other healthcare providers or provider-owned health plans have utilized our services in your local market.

For more details on our unique, proprietary process, contact us.