Mapping the holistic medical cost and care delivery opportunity space
Our approach
Benchmarking to Value can be easily configured for most claim-analytics use cases, such as year-over-year medical-spending trends, rapid initial diagnostic of medical-cost-transformation opportunities, member cohort/service-specific care model design, provider performance monitoring, benchmarking to internal or party dataset, and more. Moreover, the engine can shed light on care-quality outcome and identify care gaps.
Comprehensive source-of-value framework
The analytics engine intuitively disaggregates healthcare-spending variation by mutually exclusive cost drivers, including the following:
- unit price
- site-of-care
- preventable exacerbations and complications
- utilization efficiency
Flexible segmentation methodologies
Companies can examine improvement opportunities based on various performance elements, including the following:
- plan, product, and market geography
- attributed provider
- member cohort
Granular analysis pathways
Users can deepen the analysis to various levels of granularity, including by the following groups, while maintaining fidelity:
- care type
- clinical-service line
- detailed clinical concepts
Multiple benchmarking approaches to inform opportunity sizing
The analytics engine compares performance by spending category and by sources of value against multiple benchmarks, including the following:
- year-over-year trend
- provider metrics (versus market peers)
- plan metrics (versus market peers)
Key features
Comprehensive performance overview
Rapidly compare performance at the total cost-of-care level and separate performance and spending variation by independent cost driver.
Hierarchical analysis to highly granular opportunity areas
Dynamic and customizable pathways help users navigate, screen, and prioritize tens of thousands of potential opportunity areas.
Addressable opportunity sizing by market and source of value
Prioritized granular opportunities are aggregated and organized into a unified view using a source-of-value framework.
Featured experts
David Nuzum
Senior PartnerNew York
Supports public and private payers as well as healthcare providers in strategy formation, business design, and implementation...