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Physician decisions drive the medical loss ratio of every payer.
We analyze physician referral patterns to reveal opportunities to improve your network performance and medical loss ratio.
What decisions shape the costs and outcomes for your members?
We understand the clinical journeys of your members and the referral patterns of the physicians in your network better than you. What questions do you wish you could answer?
Who are all the healthcare providers operating in my market?
How do my in-network rates compare with competitors?
How do the utilization patterns of my members compare to my competitors?
What types of primary care access do my members prefer?
What role do “ghost networks” play in impeding access to care?
Which providers render high quality care below the market rate?
Our Solutions
Our solutions reveal which of your provider networks excel – and which perform worse than your competitors.
Track the patient panels and financial relationships of individual physicians.
Analyze market-level utilization to better meet the needs of potential member populations.
Discover physician referral patterns to design and manage high-value physician networks.
Improve your network’s value for money with a comprehensive view of rates for any healthcare service in any market.
Anticipate market changes with algorithm-based projections of future demand.
Stay ahead with exclusive research and trend forecasts from our team of policy analysts, data scientists and economists.
Get Started for Free
Referral insights start with physician data – try our applications for free.
Understanding referrals starts with knowing which physicians practice in a market, where they practice and how much care they provide. To help you get started, we provide free access to browse physician profiles and explore utilization in your area.
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