What We Do
We Are Creating A New Category Of Health Insurance Plan
- Reducing employer costs by 10-25%
- Giving families a path to lowering their out-of-pocket costs
- Rewarding health care providers who organize and deliver care around the patient’s experience
- OxBridge designs, develops and administers Episode Benefit Plans, an entirely new category of health benefit plan that offers provider choice, while achieving cost levels below plans that rely on narrow networks of health care providers.
Bundled Payments
Bundled payments are a method of reimbursement in healthcare where a single payment is made for all the services in a patient’s Episode of Care
This type of payment system has been proven to encourage healthcare providers to work together and coordinate care for a specific episode of illness or treatment
Medicare has been instrumental in advancing this payment model, and results have proven extraordinarily successful for lowering costs and improving outcomes
Oxbridge is building programs to administer health benefit plans that integrate bundled payments to encourage providers and patients to achieve optimal health and financial outcomes
Episode Benefit Plans
This innovative new plan design uses ‘episode allowances’ to drive radical levels of cost transparency, with guaranteed total episode costs for most providers in the markets we serve. Employees and their families can access guaranteed prices for many major health care episodes, creating certainty about the level of out-of-pocket-expense. Disclosing the range of guaranteed episode prices for various providers allows plan beneficiaries to make informed decisions when selecting the site and provider of health care.
Our Framework
- Our framework for cost management starts with Advanced Primary Care, delivered both virtually and in-person. Within each geography we serve, we start with a foundational relationship with leading Primary Care practices who embrace our view of shared responsibility for the health and welfare of employees and their dependents.
Episodes Of Care
- For a wide range of complex diseases and conditions, we rely on Episode of Care allowances and contracts. We deliver guaranteed pricing for a defined set of episodes that represent approximately 50% of spending for most employers. We believe in organizing and paying for health care using the episode framework – because that’s the way patients experience health care and it fits the way physicians and health professionals think about the full patient experience.
Non Primary Care
- For services that are not primary care, and don’t lend themselves to episode of care definitions, we use standard contracts and networks to access discounts and to assure compliance with our programs.
What we are Trying to Accomplish
- For Employers – To deliver competitive, attractive health benefits; to lower the cost of delivering those benefits; and to encourage employees and dependents to make thoughtful health care decisions.
- For Employees – To engage and inform; to enable wide choice of providers; to lower out of pocket costs; and to simplify this new type of health plan offering.
- For TPAs and Brokers – To introduce new product offerings and open new market opportunities.
Benefit Plan Administration
Our team has a long history of building industry-leading platforms that drive innovation and satisfaction in the health insurance field. We expect to complete our build-out during 2023 to achieve our target administrative goals:
- To administer three types of Episode Benefit Plan: an HMO, a PPO and a Reference Price plan
- To administer prospective and retrospective bundled payments
- To deliver provider support for fee for service and bundled payment contracts
- To deliver world-class support to the beneficiaries who receive their benefits through our platform