Q: What is a Medical Neighborhood?
A: A Medical Neighborhood is a comprehensive selection of the highest quality doctors, hospitals and other healthcare providers in a specific geographic service area. They are hand-picked to cover the procedures and conditions of Quince members.
Q: How are the doctors and hospitals selected for the Medical Neighborhood?
A: Quince has access to precise, current and proprietary data to pinpoint the doctors and hospitals for each individual’s Medical Neighborhood. We ensure that selected doctors and hospitals have reliably high survival rates, high performance in quality and patient safety, and low rates of complications and hospital readmissions.
Q: As an employer, how much does this cost me?
A: The employer does not pay a PEPM fee. The Quince price includes a per-case fee that is based on the size and complexity of each case. The Quince price, fee and the resulting net savings are transparent, communicated for each transaction or case, and approved by you in advance of care.
Q: As an employer, how will I measure if the Medical Neighborhood is lowering my costs?
A: Price savings are measured as the difference between the market price and the Quince price. Every time your plan funds a case, you will see a transparent breakdown of savings in advance. The market price is determined by a large claims database that is an industry staple and independent from Quince. Our fees are transparent and included in the Quince price.
Q: How do I measure if the Medical Neighborhood is improving care?
A: Impact to care is measured as the difference between the market quality care outcome performance and the Quince hospital’s or doctor’s quality outcome performance. Every time your plan funds a case, you will be provided a transparent comparison of quality of care impact in advance. The market quality of care is determined using the CMS database. CMS is an industry staple and data is collected and scored by Quantros.
Q: How do I participate in the payment at time of service?
A: In order to participate in the payment at time of service, you will need to be set up on our payment portal, similar to PayPal® or Apple Pay. Your Community Success Team can guide you through this very simple process.
Q: Do my employees receive bills and collection calls from any of the Quince providers involved in their care?
A: No. Because they have paid upfront at the time of service, the doctor or hospital has no need to generate a claim or bill. If they receive a bill in error, they can contact their Care Advisor who will correct it for them.