Project Overview
To enable Main Line Health to assess relative prices for services across hospitals and health plans in its surrounding markets. Insights from these data will help Main Line Health prepare for payor negotiations with greater efficiency and develop data-driven strategies for service-line growth.
Contract negotiations between hospitals and insurance plans are cumbersome and opaque because hospitals have minimal insight into how much their competitors are reimbursed for the same services. The lack of price transparency contributes to the wide variation in health care prices, which ultimately hurts consumers.
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The solution has had a significant impact on Main Line Health’s preparation for the annual payor negotiation cycle. Main Line Health reports that the tool reduced the time spent preparing for negotiations from three months to several days.
Insights from this data will strengthen our strategies around rate negotiations and identify value-based care payment opportunities.
Evidence & Insights From This Project
Main Line Health Uses Mathematica’s Price Transparency Dashboard to Inform Strategic Decision Making
Mathematica is providing a software-as-a-service solution to help non-profit health system Main Line Health use new plan price transparency data to drive strategies around managed care contracts.
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