Competitive Pricing
Competitive Pricing
Competitive Pricing
Competitive Pricing
OVERVIEW
OVERVIEW
OVERVIEW
OVERVIEW
With developing legislation ruling that healthcare providers and insurers need to publish negotiated rates, we identified an opportunity to drive market competition by exposing market rates.
With developing legislation ruling that healthcare providers and insurers need to publish negotiated rates, we identified an opportunity to drive market competition by exposing market rates.
With developing legislation ruling that healthcare providers and insurers need to publish negotiated rates, we identified an opportunity to drive market competition by exposing market rates.
With developing legislation ruling that healthcare providers and insurers need to publish negotiated rates, we identified an opportunity to drive market competition by exposing market rates.
Zelis Healthcare
Zelis Healthcare
Zelis Healthcare
Zelis Healthcare
2023-2024
2023-2024
2023-2024
2023-2024
TEAM
TEAM
TEAM
TEAM
Product Design Manager (my role)
Product Design Manager (my role)
Product Design Manager (my role)
Product Design Manager (my role)
Product Managers
Product Managers
Product Managers
Product Managers
Data Engineers
Data Engineers
Data Engineers
Data Engineers
Account Management
Account Management
Account Management
Account Management
Sales
Sales
Sales
Sales
(001)
Leading to inflated patient costs, the lack of competitive pricing in US healthcare can be attributed to:
Leading to inflated patient costs, the lack of competitive pricing in US healthcare can be attributed to:
Leading to inflated patient costs, the lack of competitive pricing in US healthcare can be attributed to:
01
Opaque pricing structures
Opaque pricing structures
02
Complex billing processes
Complex billing processes
03
Market consolidation
Market consolidation
04
Negotiation power imbalances
Negotiation power imbalances
05
Limited price transparency
Limited price transparency
(002)
Insurance plan administrators were already engaging with our Network360 dashboard tool, which made it the perfect candidate to host a new competitive rate analytics module.
Insurance plan administrators were already engaging with our Network360 dashboard tool, which made it the perfect candidate to host a new competitive rate analytics module.
Insurance plan administrators were already engaging with our Network360 dashboard tool, which made it the perfect candidate to host a new competitive rate analytics module.
(003)
The value of this tool lies in our ability to augment unstandardized client-supplied data and display rate insights in meaningful ways, including:
The value of this tool lies in our ability to augment unstandardized client-supplied data and display rate insights in meaningful ways, including:
The value of this tool lies in our ability to augment unstandardized client-supplied data and display rate insights in meaningful ways, including:
01
Network segmentation
Network segmentation
02
Provider types
Provider types
03
Contracted services
Contracted services
04
Price distribution and deviation
Price distribution and deviation
05
Geographic network strength
Geographic network strength
(004)
When looking for rate information, an administrator may be looking for patterns or details. Our users helped us identify top-down and bottom-up methods of finding rate information.
When looking for rate information, an administrator may be looking for patterns or details. Our users helped us identify top-down and bottom-up methods of finding rate information.
When looking for rate information, an administrator may be looking for patterns or details. Our users helped us identify top-down and bottom-up methods of finding rate information.
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(005)
Medical rate data is unstandardized, infrequently updated, and often inaccurate, which deteriorates the effectiveness of this tool. Until the Transparency in Coverage law is enforced, insurers will continue to delay providing good data.
We're actively exploring ways to grade the data quality in an attempt to encourage better data hygiene.
Medical rate data is unstandardized, infrequently updated, and often inaccurate, which deteriorates the effectiveness of this tool. Until the Transparency in Coverage law is enforced, insurers will continue to delay providing good data.
We're actively exploring ways to grade the data quality in an attempt to encourage better data hygiene.
Medical rate data is unstandardized, infrequently updated, and often inaccurate, which deteriorates the effectiveness of this tool. Until the Transparency in Coverage law is enforced, insurers will continue to delay providing good data.
We're actively exploring ways to grade the data quality in an attempt to encourage better data hygiene.
Like what you see? let me know. Don't like what you see? let me know. Either way, lets chat.
Like what you see? let me know. Don't like what you see? let me know. Either way, lets chat.
Like what you see? let me know. Don't like what you see? let me know. Either way, lets chat.
Like what you see? let me know. Don't like what you see? let me know. Either way, lets chat.