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Friday, August 5, 2016

comparing allowed amounts to five increments of Medicare reimbursement (100%, 125%, 150%, 175%, and 200%). This allows our clients to save a lot of time doing analyses for each group or line of business that may be considering a Medicare pricing strategy. Here Are The Benefits: Real time analyses of allowed amounts against Medicare benchmarks, at the line level Run In and Out-of-Network scenarios against Medicare at different levels Determine providers and service categories with highest allowed amounts compared to Medicare at different levels Understand potential savings at each level of Medicare-based reimbursement — 100%, 125%, 150%, and 200% Evaluate network exclusions, narrow network and steerage targets, and plan design changes Ask "what if" scenarios for Medicare pricing Identify gap filling opportunities for services that do not have a Medicare-specific rate Inclusion of 16 Medicare fee schedules by provider type blog.deerwalk.com/finally.....-medicare-reference-pricing-embedded-in-my-population-health-analytics-application

comparing allowed amounts to five increments of Medicare reimbursement (100%, 125%, 150%, 175%, and 200%). This allows our clients to save a lot of time doing analyses for each group or line of business that may be considering a Medicare pricing strategy. Here Are The Benefits: Real time analyses of allowed amounts against Medicare benchmarks, at the line level Run In and Out-of-Network scenarios against Medicare at different levels Determine providers and service categories with highest allowed amounts compared to Medicare at different levels Understand potential savings at each level of Medicare-based reimbursement — 100%, 125%, 150%, and 200% Evaluate network exclusions, narrow network and steerage targets, and plan design changes Ask "what if" scenarios for Medicare pricing Identify gap filling opportunities for services that do not have a Medicare-specific rate Inclusion of 16 Medicare fee schedules by provider type  blog.deerwalk.com/finally.....-medicare-reference-pricing-embedded-in-my-population-health-analytics-application
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