CareConnect: Your Advocate for Smarter Healthcare Navigation
Navigating the healthcare system is no easy feat, especially when faced with high-cost medical emergencies. For employer-sponsored health plans, these situations can result in massive financial strain. But what if there was a way to take control of these costs, even in the most challenging situations? That’s where the CareConnect program from 90 Degree Benefits steps in.
What Is CareConnect?
CareConnect is more than just a cost-saving program—it provides advocacy for members and employers, ensuring access to high-quality, fairly priced healthcare.
How CareConnect Supports Members:
- Guidance & Support: Answering questions, explaining benefits, and researching procedures.
- Cost Transparency: Researching savings opportunities and educating members on their care options.
- Care Coordination: Helping members choose high-quality, low-cost providers and facilities, facilitating scheduling, and assisting with medical records.
- Billing Advocacy: Reviewing, negotiating, and ensuring fair pricing for services.
CareConnect in Action: A Life-Saving Surgery, A Game-Changing Outcome
The Roadblock
When a patient required emergency heart surgery, they were admitted through the ER at a hospital notoriously unwilling to negotiate. The total charges? A staggering $813,330.89. Not only would this have an immediate financial impact on the health plan and the member, but it could also lead to higher stop-loss premiums at renewal.
The CareConnect Strategy
Understanding the urgency and complexity of the situation, our expert Account Executive team escalated the case to CareConnect’s seasoned negotiators. The team worked quickly, engaging the Hospital Medical Director, the patient’s physician, and other key stakeholders to open communication and initiate negotiations.
By leveraging our deep industry expertise and strategic mediation tactics, CareConnect secured an agreement at 150% of Medicare rates—a monumental success given the facility’s typical resistance to rate adjustments.
The Results? Unmatched Savings.
- Total Charges: $813,330.89
- Negotiated Rate: $90,914.97 (150% of Medicare)
- Total Savings: $722,718.30
Why It Matters
This case is a powerful example of CareConnect’s ability to drive meaningful cost savings and protect plan sponsors and their members from excessive healthcare expenses. Even when faced with providers that resist negotiations, our team delivers results.
Facing a Healthcare Challenge? CareConnect Can Help.
Healthcare navigation shouldn’t be a burden—CareConnect makes it simple. Whether it’s identifying cost-effective care options or negotiating seemingly impossible bills, we ensure that plans and members receive the best possible outcomes without unnecessary financial strain.
Let CareConnect advocate for you.