Optimizing payer-provider partnerships through claims analytics

As the prevalence of partnerships between payers and providers increases, it is critical for payers to monitor and track emerging experience and communicate these results to partner providers.

Data-driven insights through claims-based monitoring and analytics can help identify areas of action and allow payers and providers to efficiently allocate resources, increasing the likelihood of successful, long-term partnerships.

Many partnerships have found that engaging a neutral third party to assist in negotiating and monitoring contractual provisions is helpful in building trust and identifying activities for potential improvement. Data-driven insights through claims-based analytics can help identify provider inefficiencies in utilization and cost and improve overall provider performance.

To read more about how claims analytics can help boost provider performance, read the article “How to optimize partner providers’ performance using claims analytics” by Milliman’s Dane Hansen and Noah Champagne.

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