Integrated Medical Solutions, LLC (IMS) is a Third Party Administrator, or TPA, that develops managed healthcare networks to facilitate the delivery of comprehensive medical services to inmates housed in correctional facilities.
IMS will save you money with our Medicare methodology based contracts. We possess the expertise and the technology to adjudicate Medicare based claims, as well as a state-of-the-art patient management system that monitors expenditures while ensuring that access to appropriate care is made available. Institution staff has immediate access to numerous reports that aide in managing your prison population’s health services.
IMS will negotiate provider contracts on your behalf that include Medicare methodology language, not to exceed clauses, reasonable reimbursement rates for procedures not covered by Medicare, and we will establish the best premium rates for your institution. The rates established are not to be misconstrued as participation in the Medicare program; contract rates will simply be equated to Medicare rates of reimbursement without reductions for deductibles or co-payments.
Medicare methodology contracts are proven to generate significant healthcare cost savings when properly negotiated and implemented. Hundreds of thousands of dollars per year, per institution, can be saved by allowing IMS to serve as your TPA.