A Managed Care Rate Analyzer to optimize Managed Care Payments
Our proprietary software algorithm identifies services that have payment improvement opportunities to provide meaningful guidance in the Managed Care contracting process.
• Simplifies client analysis of market managed care rates.
• Identifies specific codes below market average payment rate.
• Standard reports provide valuable insights, and clients have the flexibility to adjust data parameters for tailored results.
• Analyzes rates for multiple payers across the health system identifying potential opportunities.
• Identifies market pricing opportunities for shoppable services resulting in increased volume.
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Algorithm developed in partnership with a large tertiary hospital system, ensuring real-world application and accuracy.
Generating Customized Reports
• Using GHS’s rate comparison questionnaire, clients provide specific customization requests.
• GHS processes the data, generating comprehensive reports that offer actionable insights.
• Optimized reports within 4 – 6 weeks of receipt of client customization requests.
Software Licensing
• GHS KUDOS™ software is also available to Clients to independently process their data and data parameters through licensing agreement with GHS.