Part Three – Future-Proof Your Claims Strategy: How the Right Partner Changes Everything
In parts one and two of this blog series, we covered the growing challenges international payers face and how agility and U.S. claims expertise are now essential. But beyond reacting in the moment, what does long-term resilience actually look like?
It starts with the right strategic partner. One who can help you navigate today’s volatility while preparing for whatever comes next. Because between tariffs, trade wars, and fragmented diplomacy all creating long-term uncertainty for global markets and mobility, global payers need more than flexibility — they need certainty.
Trust, Transparency, and Operational Excellence by Design
For international payers managing claims in the U.S., the stakes are high. It’s not just about reducing costs. It’s about preserving relationships, maintaining brand integrity, and delivering on your promise to covered individuals no matter where they are.
As Fortune recently reported, foreign tourism to the U.S. is projected to decline through 2025 by 5%, with foreign tourism spending projected to decline by 11%1, driven in part by global instability and renewed tensions over U.S. policy. This uncertainty isn’t just a tourism problem. It affects payer visibility, coordination, and claims accuracy when covered individuals shift their plans.
That’s why your strategic partner must offer more than just a service. They must offer certainty through:
- Trust built on consistent delivery, clear processes, and member-first thinking
- Transparency across pricing, provider engagement, and claim resolution timelines
- Operational excellence proven over time, not promised in theory
Plotkin Health checks all three boxes and more.
A Canadian-Based Firm with Unmatched U.S. Insight
Proximity matters. So does perspective.
In a healthcare landscape where many U.S. providers are facing increasing pressure to prioritize domestic billing and reimbursement pathways, having a non-U.S.-based partner ensures that international payer interests remain front and center.
- Geographic and cultural proximity to the U.S., without the conflicts of interest that can arise with U.S.-based intermediaries
- A neutral and trusted intermediary, able to advocate for international payers without being embedded in local provider systems
- Deep U.S. healthcare expertise, backed by years of firsthand experience managing claims across states, specialties, and systems
It’s a rare combination: neutrality with access, understanding with influence.
Building a Durable Advantage
As the U.S. navigates a more protectionist economic stance2, international payers often struggle to gain leverage or transparency without a local advocate. Plotkin Health bridges that gap with relationships and negotiation experience developed outside these tensions.
We’ve spent years earning the trust of international payers and protecting their investments in the U.S. healthcare system. That experience translates directly into real-world results:
- Longstanding provider relationships built on mutual respect and reliability
- Faster, more favorable resolutions, reducing administrative churn and member dissatisfaction
- Proven ROI through cost containment, streamlined processes, and avoided escalations
We don’t just support payer operations — we help strengthen them.
The Right Partner Makes Resilience Possible
Resilience starts with the right foundation. Protectionist trends may persist, but with Plotkin Health by your side, so will your ability to deliver clarity, cost control, and confidence no matter what comes next.
Most importantly, we act like an extension of your team, not just another vendor.
- The Plotkin Health Guarantee: Our core offering includes a guarantee of fair and effective outcomes, featuring 100% guaranteed savings on settled claims and 0% balance billing. This provides payers with the ultimate assurance of secured savings and patient protection.
- Direct Negotiation Expertise: We leverage over two decades of experience to directly negotiate with medical providers, primarily in the U.S. but also internationally, achieving significant average savings (35-40%) with a high success rate. This direct engagement fosters strong provider relationships and avoids the potential pitfalls associated with indirect repricing methods.
- Data-Driven Pricing: Our strategies incorporate benchmarking against Medicare, federal and state claims, commercial payer datasets, and historical transactions, ensuring impartial and defensible settlement amounts. This data-backed approach aligns with the growing emphasis on price transparency.
- Elimination of Balance Billing: We are committed to ensuring that neither the payer nor the patient will be responsible for any balance billing. This guarantee provides peace of mind and enhances the payer’s reputation.
Plotkin Health offers a smarter way to manage U.S. claims, built on trust, transparency, and a deep understanding of what international payers need most.
The future might be unpredictable, but your claims strategy doesn’t have to be. Contact us today to experience fairness firsthand with our personalized approach, streamlined settlements, and seamless outcomes.
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