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Episode of Care Analytics – Reduce Cost of Care Insights
Our commitment is to deliver meaningful solutions that enable healthcare entities to simply access comparative data to drive business decisions, based on a 360-degree view of information – you can compare your data to industry data.
Episode of Care Pricing Analytics is a comparative analytics solution that gives you the insight you need to reduce your medical cost of care – showing savings potential by procedure, provider and location.
The value: You can significantly lower your hard dollar medical cost of care for employers and your members.
- Redirect members during pre-authorization to low cost, high quality locations
- Easily define bundled payments
- Identify low cost providers to build efficient networks
- Negotiate contracts based on relevant data
- Strengthen provider relationships through the use of data transparency
Enhance Member Engagement
Transparency Tools for Your Members
HealtheReports is a dashboard that delivers healthcare pricing comparisons by procedure, provider and location, so members can compare costs and quality ratings.
The value: When members have access to healthcare costs they have the opportunity to select a high quality, low cost provider. Engaged members can reduce out of pocket costs and help drive down your medical cost of care.
- Reduce medical claims costs
- Strengthen relationships with members and healthcare providers
- Customize dashboards at a plan and employer level
- Empower members to compare costs and quality by procedure, provider and location, and share their experience with others
Reduce Administrative Costs
Enhance payer-provider collaboration by analyzing adjudication outcomes, claim turn-around time, provider coding and utilization patterns to drive out administration waste.
TITAN is a comparative analytics solution that provides instant access to current and historical data. Payers can compare their data to industry data to create benchmarks and baseline standards.
The value: Reduce administrative costs and improve performance with actionable insights and alert notifications for you and your healthcare provider network.
- Reduce denials and appeals
- Compare adjudication outcomes, claim turnaround times, provider coding and utilization patterns to industry data
- Set Key Performance Indicators (KPIs) and alert notifications to be notified when data points fall outside the parameters
- Customize reports by department, objective and role