CAPTIVES
CASH PAY
CURRENT HEALTHCARE
In the current healthcare payment model, traditional health plans bear most of the cost while patients pay for their care after a procedure is done. Unfortunately, this leads to inflated healthcare costs and a frustrating billing process that can last upwards of six months after the procedure.
WHAT IS APTA CASH?
Apta Cash can help you save on medical expenses by choosing vetted, high-quality, medical providers who offer affordable cash prices for their services. Not only does paying cash eliminate the need for time consuming administrative work, but the providers are paid much quicker using Apta Cash. It’s a win-win for everyone!
YOU CAN IMPLEMENT THIS IN TWO WAYS
Apta Cash is available as both a comprehensive cash-centric model or a bolt-on point solution that can be added to either the standard Apta Health Care Coordinator program or any plan that uses one of our preferred TPA partners.
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When using the comprehensive cash-centric model, all calls are routed through our Apta Cash Concierge Team to ensure maximum utilization of the cash program. For best results with the bolt-on model, we highly recommend educating both the TPA and plan members about the program to ensure the best utilization.
Cash-Centric | Bolt-On | |
|---|---|---|
Guided Healthcare Included? | Yes | Maybe |
Significant Savings Over Traditional Healthcare? | Yes | Yes |
Access to Telehealth DPC/VPC? | Yes | Maybe (depends on TPA) |
Comprehensive program? | Yes | No |
All costs paid at the time of the procedure with no more billing? | Yes | Yes |
Provides options for non-cash procedures? | Yes | Yes |
Does it suck? | No. It's awesome | No. It's also super cool |
HOW APTA CASH WORKS WITH GUIDED HEALTHCARE
After your doctor has prescribed a procedure, contact your Guided Healthcare professional. They'll ask a few questions to better understand your procedure and help you choose a high-value provider - either locally or through a regional center of excellence.
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Your Guided Healthcare professional will then pre-negotiate a discounted cash price with the provider on your behalf.
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Once the provider agrees to a negotiated price, your Guided Healthcare professional will walk you through the steps to get the procedure scheduled, make sure any required pre-certification is completed, and pay for the procedure at the time of service.
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That’s it. No unexpected billing after you have your procedure and no confusion on your path to receive care.
