Methodist Healthcare's San Antonio Hospitals Join Averde Health Network

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A contract between the Methodist Healthcare System and Averde Health allows patients of San Antonio’s leading health care provider access to a revolutionary payment model that finally makes high-deductible health insurance practical for families.

Methodist Healthcare System, San Antonio’s largest health care provider with eight acute-care hospitals and over 2,000 physicians on its medical staff, has joined Averde Health in offering a revolutionary payment model that will allow patients to enjoy the benefits of lower insurance premiums offered by high-deductible health insurance policies. The Averde product also benefits health care providers by helping to prevent unpaid medical bills on these types of plans.

Rapid increases in health insurance premiums have caused more Americans to choose the much less expensive high-deductible policies that have long been popular among small businesses and the self-employed. Though the premiums are much lower, these policies require the patient to pay a larger amount out-of-pocket, often several thousand dollars a year, before their insurance will pay. That has caused unpaid accounts to become a serious problem for doctors, hospitals and other health care providers. Non-paying patients and the expense of hiring collections agencies, costs providers income and forces them to increase rates. This is the problem Averde Health was created to help solve.

Averde Health assures providers that they will be paid, while assuring that patients are able to meet their obligations by offering flexible payment arrangements if needed. Health care providers submit their clean claims to Averde within sixty days and they are then paid both the plan portion of the claim and the members’ portion, including deductibles and coinsurance. All the providers have to do is collect standard office visit copays. Averde also 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. “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,” says Averde founder and CEO Tom Policelli. “Averde’s value proposition is as direct as our tag line “Simplicity, Security, Savings.”

Under this agreement, members in Averde plans will gain access to Methodist Healthcare’s hospitals and facilities, which include Methodist Hospital, Metropolitan Methodist Hospital, Northeast Methodist Hospital, Methodist Heart Hospital, Methodist Specialty and Transplant Hospital ,Methodist Stone Oak Hospital, and Methodist Children’s Hospital. Other facilities include the Methodist Cancer Center, the Methodist Women’s Pavilion at Methodist Hospital and Metropolitan Methodist Hospital , the Texas Transplant Institute, the Methodist Ambulatory Surgery Centers, the Gamma Knife at Methodist Hospital, Texas Neurosciences Center, and various family health centers.

Because of its large number of high-deductible policies, Texas is among the first states, and San Antonio among the first cities, to have access to the Averde Health product. Twenty more markets including Florida and Virginia will be added this year.

About the Methodist Healthcare System of San Antonio - Methodist Healthcare is San Antonio’s largest and most trusted health care provider with 24 facilities including eight acute care hospitals: Methodist Children’s Hospital of South Texas*, Methodist Hospital, Methodist Heart Hospital*, Methodist Specialty and Transplant Hospital,* Northeast Methodist Hospital,* Metropolitan Methodist Hospital*, Methodist Stone Oak Hospital and Methodist Ambulatory Surgery Hospital. Methodist is the second largest employer in the region and has over 2,000 physicians on staff covering virtually every tertiary and quaternary health care service. Additionally, Methodist Healthcare has a long history of providing the largest array of health and wellness education to the community, as well as providing the largest amount of charity care to those most in need in San Antonio and throughout South Texas.

*A Methodist Hospital facility

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 giving 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.

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Roberta D. Wachtelhausen
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