Uncover opportunities to reduce out-of-network, hospital, and specialist utilization by understanding key cost drivers
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.