Insurer Frequently Asked Questions
Here are a few of the questions we’re asked most often, but if you have other questions, let us know.
Service Related Questions
The products can be either. Pro ACTIVE and ACTIVE+ are benefit products, and while they can be combined with the assessment as a pre-screen tool, they are meant for benefit product users to have a plan to spend their benefit dollars in the most effective way possible for them. Rather than pressuring the employer to buy a package EAP or other solution for every member of their team, they can buy this, and we'll curate the other solutions for them on an 'as needed' basis. The Re ACTIVE program is a disability product, offering a very unique and extensively tested set of 60+ interdisciplinary treatment algorhythem modules that can be used to improve the access and quality of care a patient on either LTD or STD may have.
Today, we are working with a number of insurers in the accident benefits space, having ACTIVE recommended approved and used by IE examiners and insurance adjusters. Insurers like the assessment and treatment programs because it's data-driven and transparent. Our solutions help insurers as they contract and license within their preferred provider network as they help align teams, set cost effective treatment programs, and ultimately save time and money.
Ahero opens the bottleneck between allied health providers, doctors and insurers by assisting with the paperwork and intimidating administration that can hold back active involvement. We currently link general practitioners, orthopedic surgeons, anesthesia (pain management), Physiatry, Neurology, Plastic Surgery, Dermatology, Occupational Health, Nurse Practitioners, and a suite of allied health professionals including chiropractic, physiotherapy, registered massage therapy, psychotherapy, social workers, occupational therapists, and psychologists.
We do our best to NOT change the technology used in your office, or across your network. Your case managers, nurses and financial administration teams will all have a smooth and fairly straight-forward experience working with us, as our rates and programs are fairly clear, each submission for care comes with exceptionally clear and data-driven reporting to back up the treatment request, and where we have a pre-disability claim baseline in place, we can often offer a prognosis for recovery. You can also, of course, go from working with several suppliers of benefit and disability products, to just one, and let us choose the right products for the clients based on their needs and the programs strengths.
We aren't a disability management program as much as a patient journey program, we're happy and able to give seniors and those focused on more rural areas access to our assessment and care coordination teams. We're able to send digital therapeutics and offer telehealth services across Canada, but obviously we are constrained by the local resources in a patients area.
Yes, absolutory. We can help open service bottlenecks for your teams today by giving them access to our network of doctors and allied health clinics, and your existing teams can use our assessment tools and reports to inform treatment program decisions. You'll soon be able to license our app and have it help better connect your care network in much easier way.
Tech Related Questions
Yes! Our platform and company is essentially a facilitator. If you have specific suppliers and apps you like to use, we can work with them (as long as they want to work with us). If you have particular suppliers for programs like home monitoring, medication distribution, occupational health and at home physiotherapy, we can work with them for your clients, and we can integrate into your preferred provider network as well.
Yes. We can use our platform to integrate with your apps to support a number of features like appointment confirmation and coordination, online intake forms, and offering specific telehealth solutions. Our development team can help integrate specific features as well.
No, the technology powers the program for us, and it help help you, but it's not necessary. If you have a client who has come under our care because their physician is part of our network, or they have invested in our program, we will send applications for your programs through your typical workflow, as needed.
Finance Related Questions
We currently charge posted rates for each provider we work with, and then charge an additional fee for care coordination. For disability patients, we do not (as of yet) standardize care through set value-based contracts as we don't believe they are always the most cost-effective for the client or the patient. We are certainly open to care contracts and licensing our technology to support existing employers and networks, charging a license fee for the technology and assessment, and a small premium for care coordination through our platform and network.
While we have financing partners who may be willing to do that for you, we don't. We charge our clients either before booking appointments and products, or as the service is completed. We don't carry accounts because (a) we aren't a bank and want to focus on delivering the best possible product, not AR, and (b) we believe strongly that partners with strong balance sheets are partners committed to building long-term value for all stakeholders.