Determining the strength of your network without specific, detailed reimbursement benchmarks can feel like a guessing game. And it can present significant risks and pricing blind spots. You need information that can help you understand exactly where you stand compared to the market, so that you can mitigate risks and build a competitive advantage.

Working from the Thomson Reuters MarketScan® database, the largest and most trusted claims database in the industry, the Reimbursement Benchmarks product delivers highly specific reimbursement estimates that you can use to build and optimize networks.

Reimbursement Benchmarks:

  • Provides estimates of reimbursement rates by procedure type and diagnostic group
  • Evaluates median and average reimbursement and co-payment amounts for your local, regional market, and national market
  • Includes benchmarks such as model estimate, lower 95th percentile, upper 95th percentile, low estimate, and high estimate

Reimbursement Benchmarks PDF

 

Benefits

  • Understand the competitive environment
  • Grow market share and optimize your network
  • Capture and retain customers
  • Assess the impact of high deductibles
  • Mitigate risks with defensible pricing
  • Build business cases for capital investments