Payor Solutions

Alacura works with health plans and their network partners to provide member-focused solutions to reduce the increasing costs, complexity, and frustrations associated with the medical transportation industry.

Our Rapid Transport Response platform allows us to coordinate the needs of patients with hospitals, ambulance providers, and health plans to deliver cost reductions and improve the member experience.

Today, when a hospital physician writes an order to transfer a patient, they typically don’t specify by air or ground. That decision is often left to the ambulance provider. Because profits are considerably higher with air transports, ambulance providers are incentivized to transport patients by air rather than transfer them by ground.

Today, 77% of air ambulance transports are billed “out-of-network” which means that patients can be billed for whatever insurance doesn’t cover. This balance-billing has become a regular practice of the large air ambulance companies. A recent study shows that 40% of patients transported by air ambulance were exposed to balance billing and that the average balance bill was almost $20,000.

Alacura helps health plan members get the transport they need without the risk of a large surprise bill. Alacura works with health plans to ensure that their members know they have options and that the most cost-effective and medically appropriate transport is not necessarily by air.

Alacura’s proprietary platform allows us to make rapid transport decisions and process authorizations immediately. Whether your members need to be transported by air or ground, we ensure that they fly with a safe, reliable, in-network provider.

Health plan clinical review criteria is available upon request