Using its new precertification option, HHC contacts hospitals when its policy holders require certain treatments or procedures to negotiate an agreed-upon service price, typically using benchmark rates set by CMS as a reference point. The company aims to increase pricing transparency between hospitals and payers for out-of-network services through arbitration before the services take place.
HHC hopes its new service will encourage patients to shop for services from a wider range of hospitals and providers without the limitations imposed by narrow payer networks.
HHC is a cost-containment company that works on behalf of payers and self-insured employer groups
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