Revolutionizing Healthcare Cost Savings: AMPS as Your Holistic Partner

In today’s complex healthcare landscape, self-insured organizations face mounting challenges—escalating costs, opaque pricing, and administrative inefficiencies. At AMPS, we understand these struggles and are dedicated to empowering organizations with innovative solutions that drive cost savings while enhancing the member experience. Our mission is simple yet transformative: to provide tailored, holistic solutions that meet you where you are and deliver unmatched value.

For over a decade, AMPS has been a trusted partner for Third Party Administrators (TPAs), brokers, and employer groups in the self-insured market. As we redefine what it means to be a healthcare cost savings solutions provider, we pride ourselves on our cutting-edge technology, deep industry expertise, and a member-centric approach that allows us to address the unique needs of our clients. Whether you’re looking for a singular solution to a specific pain point or a comprehensive strategy that maximizes savings, AMPS is here to deliver.

Who We Are

At AMPS, we’re more than just a service provider, we’re your strategic partner in navigating the intricacies of healthcare cost management. Our commitment to excellence, innovation, and collaboration has solidified our reputation as a leader in the industry. We understand that every organization is different, and that’s why we’ve built our solutions to be flexible, customizable, and impactful.

Our comprehensive suite of solutions focuses on transparency, advocacy, and actionable insights, ensuring that every dollar spent on healthcare works harder for you and your members. By combining our solutions, we help organizations achieve unparalleled savings and seamless operational efficiency.

What We Do

Our approach to healthcare cost savings revolves around three core solutions, each designed to address critical aspects of healthcare spend:

PriceDynamix

PriceDynamix is the cornerstone of AMPS’ solutions, redefining Reference-Based Pricing (RBP) while encompassing our Claims Adjudication Platform services and TruPrice, our contract-based claim pricing solution. Together, these services deliver precision, flexibility, and reliability, ensuring that claims are processed accurately and efficiently.

Key Features:

• Reference-Based Pricing (RBP): Delivers defensible pricing with an annual aggregate guarantee of less than 175% of Medicare rates.
• Professional and Adjudication Services: Simplifies the claims process with advanced capabilities.
• TruPrice: Powered by industry-leading technology, TruPrice ensures unmatched accuracy and seamless integration with OON claims.

TruPrice Highlights:

• Handles a variety of contract types, including client, network, and direct-to-employer arrangements.
• Reduces administrative burdens with efficient claim processing.
• Backed by over two decades of expertise in repricing claims.

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ClaimInsight

ClaimInsight ensures unmatched accuracy and accountability through its comprehensive claims auditing and editing capabilities. It consists of two primary services—Medical Bill Review (MBR) and Itemized Pricing Unit(IPU)—as well as retrospective review and recovery opportunities. These services are designed to optimize spend, identify savings, and recover costs effectively.

Key Features:

• Medical Bill Review (MBR): Physician-led reviews for defensible outcomes that reduce provider appeals and uncover hidden savings.
• Itemized Pricing Unit (IPU): Ensures fair pricing and compliance with contractual terms for accurate claim adjudication.
• Retrospective Review and Recovery: Identifies billing discrepancies and recovers overcharges to improve financial outcomes.

Results That Matter:

• On in-network claims: 7-10% average savings.
• On out-of-network claims: 65-75% average savings.
• Supported by over 95% of findings upheld during provider reviews.

Drexi

Drexi transforms pharmacy benefit management by prioritizing transparency and member-centric care. This solution ensures cost-effective access to prescription medications without hidden fees or unnecessary markups.

Key Features:

• Cost Savings Guarantee: Experience 30-50% savings on pharmacy expenditures.
• Advocacy + International Sourcing: Achieve up to 60% savings on specialty medications through patient assistance and international sourcing.
• Customizable Plans: Tailored benefits to meet the unique needs of diverse clients.
• Member-Centric Approach: Personalized care management and support for optimal outcomes.

Comprehensive Services:

• Open formulary with cost-saving recommendations.
• Custom pharmacy networks for better rates and services.
• Step therapy programs promoting cost-effective generics.
• Mail order partnerships for convenient 90-day supply options.

Why We Do What We Do

Healthcare costs in the United States continue to rise at an unsustainable pace, leaving many organizations struggling to provide quality benefits without compromising their bottom line. At AMPS, we believe that organizations shouldn’t have to choose between financial sustainability and exceptional member care. That’s why we’ve dedicated ourselves to developing solutions that address both challenges simultaneously.

Our member-centric philosophy drives everything we do. We’re passionate about simplifying healthcare for members while delivering measurable results for organizations. By focusing on clarity, empowerment, and advocacy, we help self-insured organizations reclaim control over their healthcare spend and provide better outcomes for their members.

The AMPS Difference

What sets AMPS apart is our ability to operate as a holistic healthcare cost savings provider. While each of our solutions delivers tremendous value on its own, their true potential is unlocked when they work together seamlessly. By integrating PriceDynamix, ClaimInsight, and Drexi, we create a powerful synergy that maximizes cost savings and enhances the member experience.

Whether you’re a TPA looking for a reliable RBP solution, a broker seeking innovative tools for your clients, or an employer group striving to optimize your healthcare spend, AMPS is ready to meet your needs. Our solutions are designed to adapt to your unique challenges, providing a tailored approach that ensures success.

Partner With AMPS

At AMPS, we’re not just about cost savings—we’re about creating meaningful partnerships that drive long-term value. Our expertise, combined with our unwavering commitment to client satisfaction, makes us the ideal partner for TPAs, brokers, and employer groups in the self-insured market.

Are you ready to transform your healthcare spend and achieve unparalleled results? Contact AMPS today to learn more about how our holistic solutions can empower your organization to thrive.

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