Economic forces move the pendulum between maximizing healthcare savings and satisfying health plan members. MultiPlan offers a range of data analytics-driven healthcare cost management services that can be arranged and combined to help you strike the right balance not only today, but also when the pendulum shifts tomorrow.
There is a growing trend among healthcare payers to base reimbursement for non-contracted claims on Medicare reimbursement rates, under the name of Reference-Based Pricing. The problem is, Medicare is not only a flawed valuation for many healthcare services, but it also can deliver unintended consequences. The better measure is one that more directly ties to a provider’s own costs.
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