Beaumont-Pt. Arthur-Orange Are Among the First to Have Access to a Revolutionary Payment Model

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Texas markets of Beaumont-Pt. Arthur-Orange are among the first in the nation to have access to revolutionary payment model that makes high-deductible health insurance practical for families.

Beginning this month, physicians and hospitals in Beaumont and Port Arthur, TX will have access to a new model of health benefits provided by Averde Health. Designed as a high deductible medical plan, Averde assures health care providers that they will be paid fully and promptly, while giving its members assurance that they will be able to pay their share of the bills.

Over the course of the year, patients enrolled in the Averde network will be able to use a growing number of physicians and hospitals in several states including Colorado, Texas, Florida and Virginia. “Physician recruiting is in full swing”, said Averde’s CEO Tom Policelli. “Our value proposition has been really resonating with doctors and hospitals and our networks are delivering terrific value to our customers. We are also pleased to see that employers are finding our product to be very compelling.”

Averde’s network product is available to individuals and employers that offer high deductible plans to their employees. High deductible plans are increasingly offered by employers to reduce health insurance premiums. According to a 2009 Kaiser Family Foundation survey, 40% of small employers now offer high deductible plans, compared to only 16% in 2006.

Until now, patients with high-deductible policies often faced difficulty paying their share of health care costs. That meant doctors and hospitals lost money, either through unpaid medical bills or because they had to hire collections companies. With Averde members, that won’t happen because Averde pays the provider the member’s portion of the claim (the coinsurance and deductible) and then makes arrangements with the member for reimbursement.

An added benefit is that Averde reduces the confusing blizzard of paperwork that comes with these types of plans as doctors, payors and consumers sort out who owes what to whom by replacing the normal documentation of bills and remittances with a single easy to understand statement. “This drives even more costs out of the system and allows us to deliver a superior product at a price that employers and consumers clearly find compelling,” adds Policelli. “Averde’s value proposition is as direct as our tag line: Simplicity, Security, Savings”.

About Averde Health - Averde Health was founded by visionary health insurance executives who recognized the need for a better health care model that puts them in partnership with doctors and hospitals, while allowing patients a simple way to manage their health care expenses. By solving problems for health care providers, Averde drives administrative costs out of the system, and helps hold down costs for employers and consumers.

Because providers get paid more, better and faster, many have offered their most competitive terms to Averde.

For more information, on Averde Health, please visit http://www.averdehealth.com.

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Roberta D. Wachtelhausen
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