Overview of Transparent Open Networks
Imagine buying a car and getting a bill for the transmission six months later. You’d be livid, yet this sort of thing happens all the time in the health care industry.
Transparent Open Networks (TONs) solve one of the most vexing problems in health care, pricing failure (i.e., no correlation between price and value). We’ve seen employers use TONs as a foundation for reducing spending by 30% or more, while providing a great health benefit and experience for members. A transparent open network provides:
- Fair, fully transparent pricing to employers and individuals at high-quality centers that readily accept quality reporting such as Leapfrog, etc.
- The ability for health care providers to set a price that works for them while avoiding claims/collections hassles and accompanying receivables.
- No charge for individuals going to these providers. No bills, etc., just a thank you note.
Additional Resources:
- Transparent Open Networks Component
- Watch employer-directed webinar with Tim Culliton, CFO of Pacific Steel & Recycling and Scott Haas, Senior VP at USI Insurance, who led a Montana-based company to reduce their health spend from $8M to 3.5M while improving the member experience using the Health Rosetta principles.
- PPO Networks Deliver Value — And Other Flawed Assumptions That Crush Your Budget (PDF)
