SOLUTIONS THAT MEET YOUR OBJECTIVES

Self-funded health plans can achieve significant savings by adding ELAP’s metric-based pricing solution. ELAP’s metric-based pricing solution goes beyond a reference-based pricing model by considering both Medicare reimbursement and the actual cost to deliver the service; and adds a fair profit margin.

LET US HELP YOU DESIGN A SOLUTION
THAT FITS YOUR UNIQUE NEEDS.

ELAP offers flexible solutions so that employers can tailor a plan to fit their needs. The foundation of each solution is our claim review and audit program.

ELAP Max

MAXIMUM SAVINGS

Metric-Based Pricing (MBP)
Facility Only

 


Expert Legal Support

ELAP Plus

SIGNIFICANT SAVINGS

Metric-Based Pricing (MBP)
Facility Only
OR 
Facility & Professional*

Negotiation – Post Service
Strategically placed negotiations within
balance bill process to reduce disruption

Expert Legal Support

ELAP Select

MODERATE SAVINGS

Metric-Based Pricing (MBP)
Facility Only
OR 
Facility & Professional*

Negotiation – Post Service
Strategically placed negotiations within
balance bill process to reduce disruption

Negotiation – Pre Service
Pre-negotiated payments for select
elective procedures prior to treatment

Expert Legal Support

*Includes physician and specialist services.

Using our extensive data, market analysis and your current health plan design, ELAP will create a customized savings analysis.

HOW IT WORKS

CUSTOM PLAN DESIGN

ELAP works with your health plan to define claim reimbursement limits that work for you.

ELAP BECOMES A CO-FIDUCIARY

ELAP stands shoulder-to-shoulder with you as a co-fiduciary and
proactively advocates for the best interest of the plan.

CLAIM REVIEW & AUDIT

ELAP reviews every provider claim for errors or
unexplained charges, and uses our comprehensive metric-based pricing
model to define a fair and prompt payment to the medical provider.

ONGOING SUPPORT & ADVOCACY

ELAP offers the strongest personal member advocacy available. Our large
dedicated service team and online resources streamline the member experience.

CUSTOM PLAN
DESIGN
ELAP BECOMES A
CO-FIDUCIARY
CLAIM REVIEW
AND AUDIT
ONGOING SUPPORT
& ADVOCACY

CLIENT AND MEMBER SUPPORT

Client and Member Advocacy is the cornerstone of the ELAP solution.  ELAP’s dedicated Client and
Member Services Advocates form personal relationships to guide resolution, education and adoption.