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Dialysis and Transplant Specialty Programs Dialysis Dialysis costs are one of the most unpredictable areas facing healthcare finance today. One patient could cost as much as $400,000 per year dramatically harming loss ratios. The National Kidney Foundation reports that more than 25 million Americans have Chronic Kidney Disease. How many of these patients are affecting your loss ratios? Relying on paltry PPO discounts to combat dialysis costs is a thing of the past as nearly all renal care providers have raised billed charges faster than they have increased PPO discounts. EthiCare Advisors’ team of settlement specialists, including a former dialysis industry insider, delivers proven solutions to combat these costs including: long-term discount agreements, negotiated settlements, National Passive Network discount access, and reduction recommendations. Our reductions recommendations for dialysis treatment is based on a proven, defensible database rooted in the self-reported financial data provided by the dialysis industry and in consideration of specific plan document language. Our fee for dialysis claims is: 10% of savings for usual and customary adjustment recommendations; 15% of savings for out-of-network claims; and 20% of realized savings for in-network claims. For more information specific to dialysis, please contact Erik Fuglestad our disease management director. You may reach him at (888) 838-4422 ext. 706. Transplants EthiCare Advisors creates contracts customized to the patient’s specific situation in order to maximize savings. EthiCare also has access to several transplant networks with competitive case rates and/or percentage off billed charges discounts. For more information about transplants, please call us today.
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