Provider Network Analysis
|
PRISM utilizes advanced analytical tools to assess the value of a
provider network, or the comparative values of multiple provider
networks. The
assessment can target network negotiated fees, network access with
current utilization patterns and steerage capabilities.
Benefits
- Determine if one or more provider networks provides adequate
coverage for a member population.
- Assess the effectiveness of a provider network relative to covered
benefits.
- Determine if a network has cost effective providers.
- Compare relative negotiated fee levels.
- Identify current provider utilization patterns.
- Evaluate if a specialty carve out network is needed for certain
categories of
services.
Provider Network Analysis Services
- The client specifies the dimensions of a Provider Network Analysis
and the data comparisons to be made.
- The initial report details the analysis and makes recommendations.
- Ongoing access to reporting capability is maintained to evaluate the
network chosen.
| |
Process
- Obtain provider lists and negotiated fees from networks.
- The client or administrator provides claims data for a one year
period.
- Data is mapped into a sophisticated analytical system.
- Initial and ongoing reports are created and generated.
Contact PRISM Healthcare Resources LLC for a demonstration of
capabilities.
Telephone: (586) 468-2138
Email: Info@prismhcr.com
|
|
