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Network
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Services
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Technology
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Plan Design
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Markets
Destinations of Excellence
NSN hospitals and specialty centers deliver personalized, quality care throughout the United States. Our providers are high-volume destinations of excellence with the proven ability to deliver top-quality care at very competitive rates.
As specialized focus facilities, our hospitals are organized for efficiency and effectiveness, and for offering the personal care and hospitality patients and their companions want.
Unlike large, impersonal hospitals, NSN facilities care about earning your business and making sure your members have an outstanding patient experience. In addition, we provide all services for the full episode of care, from initial inquiry through post-procedure follow-up.
Many Networks
in One
Many procedures are available in the following networks, and we're adding more all the time.
- Cardiovascular
- Orthopedic
- Spine
- Cancer
- Podiatry
- Diagnostic Imaging
- Women's Health
- Urologic Procedures
- Bariatrics
- General Surgery
- Complex Care
Total Episode-of-Care Management
Unlike traditional networks that simply negotiate discounts and present a list of participating facilities, NSN includes comprehensive care coordination services to educate and direct members to the best care available.
We also provide significant financial incentives to plan members to choose NSN providers. These incentives include the elimination of deductible and co-insurance requirements and a GetWell Benefit™ payment for adhering to rehabilitation protocols and participating in follow-up studies.
Moreover, our total episode-of-care management services make it easy for plan members to receive the medical care they need. From start to finish, your employees have a team of care coordinators helping them through the entire surgery process, whether they're receiving care across town or across the country.
Plan members can count on assistance from our full-time care coordinators in selecting their provider, scheduling their procedure, transferring medical records, working out travel logistics, and following discharge protocols.
Member Services
NSN delivers innovative technology to streamline the management of member care. Using our exclusive Web-based technology, we manage a patient's complete episode-of-care, from initial inquiry through post-procedure follow-up to improve overall outcomes.
We also provide a full discharge adherence management system, as well as electronic storing and transfer of personal health records (PHR) to improve the management of health information and the coordination of care.
Simplified Billing
and Settlement
NSN eliminates needless complexity to reduce administrative overhead while delivering better information for accountability, analysis, and value comparison. Integrating directly with the plan as the payer, our total payment and billing systems manage the global case rate payment process.
What's more, our easy-to-use reporting tools show actual employer savings, outcomes, and quality measures.
Global Case Rates
NSN simplifies insurance management by creating clarity and predictability around procedure costs by using global case rates. Global case rates are a stable and predictable cost per claim that are substantially less expensive than traditional surgical billing models.
This means a plan can then focus attention on incidence rates and medical-loss ratio management, just like property-casualty insurers. Global case rates are the tool by which a plan can predict its medical-loss ratios and confidently manage costs.
Flexible Plan Design
NSN is a supplemental network that can be added to any health plan by the plan sponsor, if self-insured, or by the plan carrier, if fully insured, to give plan members access to top-quality providers in every geographic region of the U.S.
Your plan design is customizable, giving you the flexibility to choose procedures, locations, and other options that make your plan unique to your needs.
Employee Education
Campaign
We also provide a complete employee education campaign to make it easy for you to communicate with and inform your employees about the quality, choice, and savings available through NSN.
Markets We Serve
Self-Funded Plans
NSN allows you to concentrate your buying power and direct your members to efficient, high-quality providers who compete for your business. You'll also put clear value and quality in front of your members, which will enable you to better manage costs, member experiences, and member outcomes.
Insurance Companies
As a provider network for planned medical procedures, NSN can help you to predict and manage medical-loss ratios effectively while ensuring the highest quality of care.
Third-Party Administrators
NSN is a supplemental network that offers streamlined claims adjudication and payment while delivering cost savings for high-quality medical care.
International Plans
NSN offers international patients access to high-quality care for planned procedures while achieving significant cost savings. Our full-time care coordinators assist in selecting a provider, scheduling the procedure, transferring medical records, working out travel logistics, and following discharge protocols.
Workers' Compensation
NSN represents an important opportunity to control workers' compensation costs by delivering high-quality medical care from a provider network with both general medical and occupational injury experience.
Healthcare costs holding you down? Time to hold down healthcare costs.
As a benefits consultant, broker or third-party administrator, we help your clients manage their medical-loss ratio through direct cost savings on major medical procedures while creating revenue opportunities for you.