Case study: The value of cross-payer analytics

As payers continue to be plagued by rising medical loss ratios (MLR) and seek to control costs without negatively impacting member benefits, they often turn to their own claims payment data to control improper spending. While this is a vital strategy, it fails to answer the question: What procedures and codes are driving higher utilization and spen...

• Published date: 02-04-2025 01:00 PM