Mirador specializes in creating customized contracting solutions designed to reduce the financial risk associated with complex or catastrophic medical situations that fall outside your current network.

The health care system works best on the general case, the majority of presenting medical issues. But what about the unique, complex and catastrophic medical case?

Mirador provides a targeted, specialized service as part of a unique, case-specific agreement that addresses the issues in the presenting situation.

What about your current vendors? Are they able to render these special agreements? How much effort can they devote to this service? Is it a priority for them?

Even if you have access to the best networks, you will find that their business is focused on maintaining their network, not doing special one-time deals. Can you rely on your current vendors to create a custom solution when you need it? Is this the best way to handle the out-of-network case?

Mirador specializes in this service. It’s our focus, not an afterthought.

Payors such as HMOs, indemnity insurers, stop-loss carriers, reinsurers, managing general underwriters and self-funded employers could use Mirador. Vendors such as third party administrators, case management firms, utilization review companies, paying agents and claim auditors could also use Mirador.

Whether you are a payor or a vendor, you want to do all you can to minimize the financial risk and maximize the efficiency of dollars being spent on catastrophic or complex medical events.

Can you afford not to use Mirador?

What if the tools you use to minimize the financial risk and maximize the efficient use of health care dollars are not enough? What if the next case to come in is “catastrophic” and it falls outside your network? What do you have in place to protect the bottom line?

Size does not guarantee performance, in fact, it may be counter productive. A large network vendor, with huge referral volume at a particular health care provider, may not be in the best position to get the most value on the next out-of-network case. That health care provider, having given that network vendor its rate for their network deal, may not give anything close to that deal on the one-time case rate situation. Volume of referrals does not predict the value you may receive on the next out-of-network case. We believe value is a function of completeness, speed and price.