HSM uses a "Network of Networks" approach combining multiple healthcare provider networks to provide access to over 95% of US providers. By overlaying different provider networks, HSM can negotiate lower claims charges, resulting in clients paying 58% less than what providers originally charged in 2011. HSM also develops a network hierarchy to determine the lowest cost network for each client region, reducing costs while improving convenience for health plan members.

1. Network of
Networks
In 2011 HSM clients
paid 58% less than
their providers
charged!
Health Systems Managementis our proprietary “Network of Networks”
approach to provider access. This state of the art technology combines multiple Cost Based Claims
HealthCare provider/networks to deliver “Assured Access” to HealthCare Providers Negotiations
Nationwide. By overlaying the provider networks we can achieve access to more than
95% of all US providers that participate in any provider network. HSM utilizes a national claims
data base to successfully
In practice, most providers participate with multiple networks. This creates the negotiate lower claims charges
opportunity for HSM to optimize the price paid for services. For each client, and within and pay providers on a cost-
regions for clients with multi-state operations, a network hierarchy is developed and based pricing model which has
used to determine which network will be applied when there are multiple choices proven substantial reduction in
available. Therefore, in addition to offering increased breadth of access for patients to dollars paid out on claims that
choose their HealthCare Provider, we also search for the lowest net cost to the health are outside of the national usual
plan. For our clients, this approach delivers reduced costs and improves convenience and customary pricing structures.
for members.