After Traumatic Injury, DirectAccess+ Cuts Patient’s Medical Costs in Half
With DirectAccess+, clients and members achieve maximum protection and savings. To establish savings information, ClaimDOC analyzes commercial contract pricing from data disclosed by hospitals and health plans. Using Turquoise Health to find the median commercially contracted price, we can show a fair estimate on the true savings being generated for the plan and the member. Licensed healthcare professionals conduct comprehensive line-by-line claim auditing to uncover errors typically not caught. Following are five recent audit results showcasing substantial savings.
Omaha, Nebraska
A five-day hospital stay to treat multiple rib fractures, traumatic chest injuries and related surgery.
Hospital bill: $1,94,782.16
|
Plan |
Patient Responsibility* |
|
|
Traditional Network Plan |
$102,695.97** |
$20,539.19 |
|
DirectAccess+ |
$51,675.70*** |
$10,335.14 |
*20% coinsurance | **Median commercially contracted price | ***ClaimDOC allowable
Plan savings: $51,020.27| Member savings: $10,204.05
Walnut Creek, California
A three-day hospital stay for treatment of cervical cancer and related surgery.
Hospital bill: $191,941.58
|
Plan |
Patient Responsibility* |
|
|
Traditional Network Plan |
$61,383.62** |
$12,276.72 |
|
DirectAccess+ |
$21,880.84*** |
$4,376.17 |
*20% coinsurance | **Median commercially contracted price | ***ClaimDOC allowable
Plan savings: $39,502.78 | Member savings: $7,900.55
New Haven, Connecticut
A one-day hospital stay for treatment of atherosclerotic heart disease and a related procedure.
Hospital bill: $58,522.33
|
Plan |
Patient Responsibility* |
|
|
Traditional Network Plan |
$40,632.85** |
$8,126.57 |
|
DirectAccess+ |
$8,422.00*** |
$1,684.40 |
*20% coinsurance | **Median commercially contracted price | ***ClaimDOC allowable
Plan savings: $32,210.85 | Member savings: $6,442.17
Louisville, Kentucky
A 13-day hospital stay for treatment of secondary brain cancer and related surgery.
Hospital bill: $200,191.70
|
Plan |
Patient Responsibility* |
|
|
Traditional Network Plan |
$71,837.86** |
$14,367.57 |
|
DirectAccess+ |
$40,255.56*** |
$8,051.11 |
*20% coinsurance | **Median commercially contracted price | ***ClaimDOC allowable
Plan savings: $31,582.30 | Member savings: $6,313.46
Glendale, Arizona
A three-day hospital stay following vaginal delivery.
Hospital bill: $90,127.00
|
Plan |
Patient Responsibility* |
|
|
Traditional Network Plan |
$26,665.83** |
$5,333.17 |
|
DirectAccess+ |
$7,634.33*** |
$1,526.87 |
*20% coinsurance | **Median commercially contracted price | ***ClaimDOC allowable