Costs and Insurance

At Novolink, we believe in transparent and flexible payment structures that align with our partners' needs while providing high-quality, continuous care for complex patients.

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Understanding Our Costs

Traditional fee-for-service (FFS) payments don't fully cover the costs of our continuous care model. That's why we've developed a unique compensation structure:

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Initial Technology Investment

We start with a one-time setup fee of $950 per patient, which covers technology setup, delivery, training, and configuration and ensures patients can access necessary equipment.

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Comprehensive Care Billing

Our comprehensive care billing includes standard FFS charges to the payor for home visits, telehealth consultations, remote monitoring services, care management, and caregiver training.

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Mutual Savings Benefit

Our mutual savings benefit program features a shared savings arrangement where we split the cost savings generated by our care model with our partners.

Flexible Payment Arrangements

We adjust our payment structure based on each patient's insurance type:

  • HMO patients: We offer shared savings arrangements with HMOs, splitting the cost reductions our program achieves to benefit both parties.
  • PPO patients: We work directly with your PPO to create customized arrangements that meet both patient care needs and the payor's cost management goals.
  • Medicare ACO patients: We can assume responsibility for high-cost patients, potentially improving the ACO's performance while providing specialized care.

We can combine FFS, capitation, and shared savings models. Each arrangement is negotiated individually with our partner practices.

Cost Savings

Our program has demonstrated significant cost savings, which Novolink and our partners share, creating a win-win situation for all involved.

60%

Reduction in Total Cost

$74K

Average Savings Per Member

Building Transparent Partnerships

Flexible Coverage Options

We work with various insurance types, including Medicare Advantage and commercial plans. Currently, we have a pilot program with Humana running through December 2024.

Patient Care Is Our Priority

In most cases, there is no direct cost to patients. For example, in our Humana program, Novolink is paid directly by Humana, with no cost to the patient.

Partnering for Success

We use a transparent shared savings methodology, with calculations performed by a mutually acceptable third party. We’ll also help determine whether your patients meet the criteria for our program.

Initial Technology Investment

We believe in full transparency in our cost and savings calculations. All parties have access to review the data and results, ensuring a fair and open process.

Let's Work Together

Reach out to discuss how Novolink can help you.