February 2018 Cost Containment Tips

  • To ensure cost savings when a cancer diagnosis or other high cost condition has occurred, be proactive. Although in-network provider status offers the greatest savings, there are instances with prior approval from your TPA and Roundstone, where an out-of-network provider can be an option.
  • Enlist the assistance of a knowledgeable case manager who can work with the patient and the providers to ensure the best outcomes, and also help control the costs.
  • Review the plan design to steer employees to network providers, and consider requiring a second opinion for certain high cost conditions or procedures.
  • When a specific need cannot be achieved within the network, contact your TPA and Roundstone for assistance prior to the service occurring, which allows for more flexibility and choices.