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Patented, Consistent and Transparent
Validated by statisticians as effective and fair, Data iSight delivers deep savings on non-contracted claims/bills with wide provider acceptance.
Savings with No Balance Billing
Sophisticated financial benchmarks drive agreements that hold the patient harmless against provider balance billing.
Traditional Pricing for Traditional Plans
Our medicare-based pricing as well as Viant pricing service offers time-honored methodologies for reducing out-of-network facility costs.
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 payors 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.
MultiPlan analysis helped a third-party administrator defend against a competitor’s push to implement Medicare pricing by:
significantly improving savings for the employer and its members; engaging important providers in the new process; and preserving the community’s provider-patient relationships.
MultiPlan analysis helped a third-party administrator defend against a competitor’s push to implement Medicare pricing by:
significantly improving savings for the employer and its members; engaging important providers in the new process; and preserving the community’s provider-patient relationships.
Delivering savings with member protections on more than 3.6 million out-of-network claims/bills
MultiPlan’s data analytics-driven healthcare cost management services work in concert with — or in place of — healthcare provider networks so you can align your strategies to fit the current economy. Do you need help preparing for the next pendulum shift?
