Systems and methods for reducing healthcare transaction costs

摘要

A centralized network can be established by contracting medical facilities and insurance providers, in which the medical facilities agree to waive all or a portion of a deductible amount owed as part of their contractual obligation with the network. The insurance providers agree to provide a credit of the premium to be paid by beneficiaries that use a contracted medical facility to receive a service for which the deductible amount is waived. Specific uses of the systems and methods disclosed can include management of a Medicare supplemental insurance network in which Part A deductibles are waived by hospitals or similar medical facilities, and premium credits are provided to beneficiaries of Medicare supplemental insurance policies who use contracted medical facilities. The cost savings and increased revenue recognized by both medical facilities and insurance providers can enable claims to be repriced while reducing transactional costs for all parties.