For health plans, network performance is the only benchmark that matters.
The medical loss ratio of every health plan is impacted by the decisions made by physicians and members. Improve network performance by understanding referral patterns, member preferences, market share trends and future demand to improve outcomes and cost efficiency.
Are you asking the right questions?
By connecting the dots across healthcare datasets – all-payer claims, health plan price transparency files, provider information, public datasets and consumer data – we equip health plans with insights that not only address pressing questions but also spark new inquiries that challenge the status quo.
How well is my network performing based on medical loss ratio?
How do my in-network rates compare with competitors by service line?
What are the distinct needs and preferences of my members?
Which providers receive above-average rates for below-average quality?
Is my network adequate to meet the healthcare needs of my members?
What does the policy landscape signal for growth opportunities?
Our Solutions
Our solutions guide you to evidence-based insights.
Data without context does not have the answers. Our solutions fill in the gaps, transforming raw data by providing the context needed to inform strategic decisions. Our solutions have helped Medicare Advantage, Medicaid and commercial health plans improve network design, expand to new markets and understand member preferences.
Track the referral patterns, 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.
Utilize algorithm-based projections of future demand for healthcare services to understand changes in visit volume over time.
Stay ahead with exclusive research and trend forecasts from our team of policy analysts, data scientists and economists.
There is no room for guesswork in the future of healthcare. Our solutions equip health plans to makebetter decisions.
Are there questions your current analytics partner cannot answer?
Let us know what questions you have – we will show you how our solutions can answer them.
Timely trend analysis.
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