Companies are always examining how to create a sustainable delivery method that enables leading class outcomes for consumers.
Competitive markets require companies to understand how they can optimize for the best dollar against competitors based on predictions of what they might do.
Examples in Healthcare
Transparency in Coverage: Stakeholders in healthcare can leverage cost transparency to their advantage in different ways. Health plans can utilize this information to achieve lower rates. Providers can utilize this information to increase their rates.
Network: Health plans must carefully design networks to steer membership towards providers in which they have discounted rates.
Provider: Assessing different reimbursement models and care structures between providers and alternative sites of care can improve overall spend.
Care Management: Care management services can be used to steer patients towards time saving, cost-efficient resources that may lower overall spend and improve health outcomes.
Rx: Pharmacy utilization management and pharmacy unit cost levers can be used to reduce Rx spend.
