What makes it so simple?
We know that the healthcare system is broken and something as simple as scheduling
an appointment with your physician can be a time-consuming experience.
Personalized care that delivers better outcomes is available.
Follow the Blueprint
Simplified knows that every business is different, and we can find the best tools that fit your company’s culture. Below are some of the cost containment measures that can be implements to control your spend.
- Direct Primary Care
- Clinical Pathway Tools
- Pharmacy Benefit Manager
- Specialty Rx Carve Out
- Bundled Surgical Pricing
- Medical Travel
- Transparency Tool
- Onsite/Near-Site Clinic
- Benefits App
- Biometric Screenings
- Transparent TPA
- Stop Loss
- Employee Assistance Program
- Provider Networks
- Direct Contracting
- Imaging Networks
- Second Opinions
- Worksite Wellness Initiatives
- Renal Repricing
- Cost Transparency Tool
Direct Primary Care (DPC)
DPC is a relationship with a physician that truly knows you and your history. If you need a coach for nutrition, chronic conditions or lifestyle change, your DPC doctor is there for you as much or as little as needed. They also your coordinator for care with specialists and hospitals. It puts the relationship back in the doctor-patient relationship.
It’s the way primary care was always meant to be.
- Access to your physician 24/7 via text, email, or phone
- Same day or next day appointments as needed
- Wholesale pharmacy pricing & dispensing
- Labs, tests and minor procedures at cost
- Appointments average about an hour with your doctor
- Unlimited visits for no additional charge
Curtis is a Chartered Certified Benefits Advisor of Health Rosetta and a proud member of the FMMA. Learn more about these affiliations:
Using the principles of Health Rosetta, we have developed fixes to the delivery of healthcare. Health Rosetta has laid out the blueprint for high-performance healthcare benefits by pushing back against decades of hyper-inflated costs.
Health Rosetta’s Foundational Components by Importance:
- Transparent Advisor Relationships
- High Performance Plan Design, Documents & Risk Management
- Active, Independent Plan Management
- Value-Based Primary Care
- Benefits Concierge Services
- Transparent Pharmacy Benefits
- Transparent Open Networks
- Major Specialties & Outlier Patients – MSK, Oncology, Cardiometabolic
Free Market Medical Association (FMMA)
At the FMMA, like SIMPLIFIED, transparency in healthcare is the top priority. Many providers, patients, and self-funded employers believe in seeing a change in the way healthcare services are purchased. The FMMA leads them in the right direction.
The Pillars of the FMMA were created due to the wildly varying definitions of free market and transparency. As this movement grows, many want to utilize the work of the true free market warriors to create new programs, products, and schemes that are not truly free market, or transparent. All members agree to abide by the literal definition of the Pillars, and the spirit and intent in which they were created.
- PRICE is NOT a product. CARE is the product.
- Selling access to pricing is anti-free market.
- Discount brokers” who get paid by selling “savings” are not transparent.
Health plans have been forced to rely on PPOs/networks, or specialty discount vendors, to give them ACCESS to a percent off “billed charges” contract in an effort to reduce truly outrageous charges. This system has done nothing to curb the rising cost of care, and has instead, contributed to the increase. By selling access to a discount or price, it is highly beneficial to the establishment if the charges are excessive.
Percentage based payment models incent price gouging and pricing games. Selling access to a discount where you benefit from the price being high puts you at odds with the best interests of the buyers and sellers of healthcare.
Examples of scenarios where the vendor WINS when healthcare costs go up:
- Percent of savings
- Percent of claims
- Percent of premium
- VALUE is established when the buyer and seller agree on a FULLY DISCLOSED, mutually beneficial price for care.
- If a vendor adds or changes that price IN ANY WAY, those amounts should be truthfully disclosed
In an open free market, consumers can readily access the information to choose healthcare providers based on value. Value is based on price AND quality. A consumer cannot determine the VALUE of the purchasing choices they make without price HONESTY.
Our current healthcare system employs a magician’s bag full of tricks to hide the real price from the buyer. Costs will never decrease until consumers can make fully educated, value-based decisions about their care.
Hiding, modifying, or tampering with the true price FOR ANY REASON is anti-free market. If facilitation of the service is requested, these facilitators and vendors should disclose their fees upfront openly and honestly.
- PRICE EQUALITY is the basis of a free market.
- Cash is KING.
- Any willing cash buyer should be offered the same price regardless of any factor.
In an open and honest free market, cash is always king. Enhanced discounts for guaranteed bodies through the door, increases costs for patients based on factors they cannot control; such as one insurance vs. another, these are all symptoms of a broken system.
In a free market system, a competitive price can be knowable, publishable, and complete regardless of the patient.