We help insurance companies reduce costs
According to the Institute of Medicine out of the 2.5 trillion dollars allocated to healthcare in 2009, $765 billion was wasteful spending.
Our model is focused on improving the gaps in healthcare expenditure in the following ways:
Capture longitudinal health outcome data for cost analysis within our provider network
Provide services to maximize prevention opportunities and increase patient engagement
Minimize the delivery of unnecessary (and costly) services
Enhance delivery of services through community based collaboration
Referral to a UMedGym can be made directly by the physician, employer, insurance company or by self-referral.
The patient is evaluated by a licensed healthcare professional where baseline data is collected and used to prescribe a customized exercise program and set goal.
Care is collaborated amongst multiple disciplines including physical therapists, nutritionists, mental health providers, and physicians/specialists.
How does UMedGym help you reduce costs?
We coordinate patient care through our proprietary data collection model that focuses on patient engagement, provider collaboration, and reporting on longitudinal health outcomes.
Payment for services
Although some of our facilities participate in Fee for Service payment, most are either cash pay or contracted rates with health insurance companies or employers. A common misconception of our payment model is that if it is not covered by insurance it is more expensive.
Fact: Average cost of services for one year at our facility can cost as little as $1,000-$1500 and can be reimbursed through HSA (Health Savings Accounts), FSA (Flexible Spending Accounts) or directly by the health insurance or employer for fitness benefits.
Bundled payment option
We encourage health insurance companies to work with us to negotiate reimbursement rates for patients that are seen by our providers. This is typically a bundled payment option that takes into account both complexity of the patient's health and level of patient engagement.
Every 90 days we are re-evaluating patient progress and adjusting intensity of services required to continue moving the patient in the right direction. This ensures that cost of care is customized to what the patient needs and you are never paying for more services than is required to optimize long-term outcomes.
Patients referred to our facility have the option of paying cash for services provided by a UMedGym facility. Services are reimbursable under a Health Savings Account (HSA) or Flexible Spending Account (FSA).
Rates for services vary by facility and can be provided upon request.
Patient outcome reports are sent to all providers as agreed upon by the patient through signed releases. This ensures all providers are involved in ongoing care coordination to maximize outcomes.