Uncover opportunities to reduce out-of-network, hospital, and specialist utilization by understanding key cost drivers
Identify key utilization trends of your provider network and population to target areas for cost containment and quality performance improvement.
Review provider network performance and identify care delivery sites with robust reporting of utilization including referrals, ER visits, admissions, outpatient procedures, specialty visits, and pharmacy.
Compare and benchmark analytics by market, provider group, physician, and member to identify areas for improved patient care and cost control.
Assess utilization patterns: referral, hospital, and key utilization information to analyze cost containment and efficiency.
Review provider network performance and site-of-care selection.
Identify provider utilization trends and initiatives to improve quality performance and prevent avoidable expenses.