Increased transparency in the healthcare industry will change how providers compete in the marketplace, according to a new infographic from the Patient-to-Consumer Revolution.
Health plans will either enable transparent consumer shopping, or be by-passed by a consumer technology company that will offer this type of comparison shopping.
Data Sources for Rate-Setting in ACOs, Exchanges and Narrow Networks examines the various ways claims data can be used in the new health insurance marketplace. In addition to helping support the adjudication of out-of-network claims, claims data can provide the building blocks for ACO development, as well as the foundation for pursuing a narrow-network strategy, developing consumer-oriented tools to promote effective plan selection and plan management, and building internal dashboards for strategic decision making.
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