Report

Episodic claims analysis & savings methodology

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Healthcare claims data shouldn't feel like a puzzle with missing pieces. But for self-funded  employers, understanding what you're really spending—and whether you're saving  anything—can be a challenge. Inconsistent methods, incomplete data and unverifiable  savings calculations are all too common in traditional claims analysis. 

But there's a better way. A rigorous savings methodology can fix the most common flaws in  current healthcare claims analysis and clear away confusion. With transparent, consistent  methods and accurate data, benefits leaders can finally get a clear view of costs, make  accurate comparisons and feel confident their savings strategies will deliver results. 

This report will empower you to: 

  • Recognize and correct common issues in your claims analysis like claims lag,  incomplete data and inconsistent episode definitions  
  • Make more accurate, apples-to-apples cost comparisons of specialty care  solutions so you can choose the option that delivers the most savings  
  • Ask vendors the right questions about how savings are calculated and challenge  misleading or opaque methodologies  
  • Advocate for transparency in our industry and encourage others to unlock access to  their savings methodologies