Cost Containment

The ARS Resource Advantage

Alternative Risk Solutions, LLC (ARS) enhances the effectiveness of the clients enforce plan management components such as PPO Networks, Utilization Review and Case Management vendors by providing oversight and offering a secondary suite of cost containment resources.

Employers who want to protect their financial stability from the costs of catastrophic illness or injury benefit greatly from the following voluntary services:

  • Out of Network Claim Negotiation
  • Bill Audits and Arbitration
  • Cancer Management Networks
  • Dialysis Cost Containment Programs
  • Transplant Management Networks
  • Catastrophic Injury Management Programs
  • Speciality Pharmaceutical Programs
  • Disease Management and Wellness Services
  • Utilization Review and Case Management

ARS Case Studies

Out-Of-Network Hospital Charges

When one of our stop loss carriers received claims for reimbursement for three separate out-of-network hospital stays, they asked that ARS get involved. By working with the case manager and our preferred vendor, ARS was able to obtain significant discounts for this patient’s care. The net savings for three hospital admissions totaled $67,874.

Negotiating Savings on Kidney Dialysis

A case manager contacted us for assistance with high drug charges for a patient receiving peritoneal kidney dialysis. Working together with the case manager, we contacted a ARS resource vendor who negotiated a 20% discount on these charges, resulting in a net savings of $53,012 over a six-month period.