Navigation Links
Moving Beyond the Mysteries of Disruption Reporting
Date:6/11/2009

APPLETON, Wis., June 11 /PRNewswire/ -- Health plan transparency has gained an enormous amount of attention due to the ongoing "quest" to have better information to make informed health care decisions. While health plan transparency, provider cost or quality is often discussed in the form of better public information, there is an increasing need for transparency in reporting on member and claims disruption. The health care thought leaders in consulting firms, government agencies and large employers know that standardized reporting increases that transparency.

"The need to minimize disruption for customers when changing plans is a critical component," says Tom Dolatowski, Vice President Marketing & Communications, Delta Dental. Tom adds, "Our ability to provide transparency provides us with a competitive advantage." However, while the demand increases, the current methods of obtaining results can be misleading due to variations in the methodology used to determine if a provider is actually included in a health plan's network.

The Current State of Information Is Inadequate

Health plans are incented to create the appearance of minimal network disruption when responding to a proposal, and if not specifically instructed, may relax the method for determining a match to their network.

Consistent standards are not applied across various health plans, causing inconsistent results.

Data integrity is a challenge as it is often incomplete and does not reflect an accurate picture of the claims utilization over the previous year. Incumbent health plans, knowing they are "up for bid," deliver network provider data grudgingly, slowly, and in as cumbersome a format as possible, to hinder the analysis efforts of competing plans.

"Disruption analysis without transparency is of little value by itself," says Brett Apgood, Senior Associate, Mercer. "Simply having a li
'/>"/>

SOURCE Quest Analytics, L.L.C.
Copyright©2009 PR Newswire.
All rights reserved

Page: 1 2

Related medicine news :

1. Best Practices for Hospitals Moving to Electronic Medical Records
2. Removing Medical Device Preemption Impacts Jobs, Health Care Costs, Patient Access
3. National Long Term Care Leaders Praise Overall Baucus Health Reform Effort, Express Specific Concerns Moving Forward
4. Learning and Moving, a GeoFitness Solution for Preventing Obesity in Children and Increasing School Success
5. Weight Watchers(R) Kicks Off Spring by Urging People to Get Moving With The Momentum(TM) Walk-It Challenge
6. GeoFitness Launches Get Moving America Campaign to Improve Youth Health
7. National Multiple Sclerosis Society Commends President Obamas Initial Steps in Removing the Bans on Embryonic Stem Cell Research
8. What the Billion Dollar Beauty Industry Does Not Want Leaked: That One Can Actually Reverse Aging for Free by Moving Only to the Right. We Smell a Nobel.
9. Many Clinical Trials Moving Overseas
10. CrossTech Forums Announces Health IT Insight 2009 Moving to Arizona Grand Resort in Phoenix; Executive Summit to Take Place April 29-May 1
11. Remedy for Cracked Heels and Removing Calluses
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:10/22/2014)... October 22, 2014 On October 22, ... featuring skin diseases both fictional and real. The ... a nonprofit organization committed to advocacy and philanthropy in ... will take the opportunity to impart truth and clarity ... , There are many misconceptions about Morgellons Disease ...
(Date:10/22/2014)... TUESDAY, Oct. 21, 2014 (HealthDay News) -- The ... passengers arriving from Ebola-affected nations of West Africa ... screen them for infection with the virus. ... Jeh Johnson noted that 94 percent of air ... land at one of these five airports -- ...
(Date:10/22/2014)... 2014 During the Western United States’ ... runs dangerously low, Southern Oregon’s water is proving resistant ... the lowest mountain snow pack on record in 2014, ... early autumn.* That was the observation of journalist-hikers Art ... “Hiking Southern Oregon,” during an interview with water advocate ...
(Date:10/22/2014)... (PRWEB) October 22, 2014 Lintelus, Inc., ... Sr. Vice President of Sales, will be speaking on ... Meetings Technology Expo on October 28, at the Holiday ... hosting a booth as well as a Tech Demo ... Meeting can create a more engaging event experience. , ...
(Date:10/22/2014)... sisters in high school have developed ways to measure ... use electronic stethoscopes, which electronically amplify body sounds, to ... heartbeats. Ilina, a senior at Port Huron Northern ... to detect early lung damage in people exposed to ... one breath cycle each from 16 smokers, 25 nonsmokers ...
Breaking Medicine News(10 mins):Health News:CBS’ Criminal Minds takes aim at skin disease with Morgellons in the Mix 2Health News:CBS’ Criminal Minds takes aim at skin disease with Morgellons in the Mix 3Health News:Passengers From Ebola-Affected Countries Must Land at Designated U.S. Airports 2Health News:Passengers From Ebola-Affected Countries Must Land at Designated U.S. Airports 3Health News:Southern Oregon Is West’s Most Drought Proof Fresh Water Region Say Hiking Guide Authors 2Health News:Southern Oregon Is West’s Most Drought Proof Fresh Water Region Say Hiking Guide Authors 3Health News:Southern Oregon Is West’s Most Drought Proof Fresh Water Region Say Hiking Guide Authors 4Health News:Jay Cormier, Sr. Vice President of Sales for Lintelus, Speaks about Event Technology Integration at Meetings Technology Expo in NYC 2Health News:Teen Sisters Develop Ways to Measure Lung, Heart Damage 2
... than three million babies worldwide are conceived through Assisted ... intra-uterine induction. ,In Britain, ART accounts for ... 10,242 in 2004 while many more women undergo ... is 28.2 per cent, falling to 10.6 per cent ...
... genes that are associated with resistance to chemotherapeutic drugs ... significantly enhance the ability to predict whether or ... functional genomic screen. ,Resistance to chemotherapeutic drugs ... with metastatic cancer. Dr. Julian Downward from the Cancer ...
... water or coke when thirsty; instead get a can of Tea Cola, ... still in the mood for a cup of tea , just pop ... developed the exotic health drink and the pill from tea extracts are ... granted provisional patent rights. ,"It would be a milestone in ...
... legend Sir Elton John performed a free gig in ... place in the country's capital Kiev, was attended by ... politicians. ,The charity performance of the singer ... received mixed reviews from the people, with some appreciating ...
... out of sponsoring Lindsay Lohan's birthday bash, but now another ... as well as jailed pal Paris Hilton a service ... to go clubbing or partying." ,According to the ... home after a wild night of partying and boozing. Lohan ...
... cheer to the capital with most people indulging in outdoor activities, ... ,As the city received 104.7 mm of rain in ... receives in the month of June, the city faced waterlogging problems. ... family went to India Gate to simply enjoy the weather out ...
Cached Medicine News:Health News:Questions Raised Over Safety of In-vitro Fertilization 2Health News:Questions Raised Over Safety of In-vitro Fertilization 3Health News:Questions Raised Over Safety of In-vitro Fertilization 4Health News:New Genetic Studies Carried Out in Cancer Therapy 2Health News:Tea Pill, Tea Cola Hitting Markets Soon 2
(Date:10/22/2014)... Va. and AUSTIN, Texas ... Inc. and PureMHC LLC today announced they have ... develop novel antibody-based immunotherapies designed to target cancers. ... of phosphorylated peptides displayed on the surfaces of ... phosphopeptide tumor targets (PTTs), derived from proteins that ...
(Date:10/22/2014)...  Recently published clinical studies of Stretta for gastroesophageal ... of evidence. This data has led to significantly expanded ... for sufferers of refractory GERD. The ... therapy as a safe and effective GERD treatment has ... to nearly 50 million Americans. The new clinical studies ...
(Date:10/20/2014)... Calif. , Oct. 20, 2014  PneumRx, Inc. ... interventional pulmonology, today announced completion of enrollment in their ... RENEW Clinical Study is the FDA-approved IDE pivotal trial ... severe emphysema. It was anticipated that the ... February 2013, would take until the end of 2014 ...
Breaking Medicine Technology:Biotech Companies To Co-Discover And Co-Develop Antibodies Targeting Novel Phosphopeptide Tumor Targets 2Recent Clinical Study Data Confirms Efficacy of Stretta Therapy - Spurs Additional Insurance Coverage and Financing Round 2PneumRx Completes RENEW Pivotal Trial Enrollment 2PneumRx Completes RENEW Pivotal Trial Enrollment 3
... May 22, 2007,/PRNewswire-FirstCall/ -- Palatin Technologies, Inc. ... from Study 16 and,Study 17 of the ... men with erectile dysfunction (ED) were presented,yesterday ... (AUA 2007) held in Anaheim, CA. New ...
... New Data Suggests Less Abuse-Related Effects For ... Benefit of Unique OROS(r),Formulation , SAN DIEGO, ... abuse remains an,ongoing concern for parents and ... Hyperactivity Disorder,(ADHD). Data presented on Tuesday at ...
Cached Medicine Technology:Palatin Technologies and King Pharmaceuticals Report Data Showing,Improvements in Sexual Relationship and Self-Esteem in Patients,with Erectile Dysfunction Treated with Bremelanotide 2Palatin Technologies and King Pharmaceuticals Report Data Showing,Improvements in Sexual Relationship and Self-Esteem in Patients,with Erectile Dysfunction Treated with Bremelanotide 3Palatin Technologies and King Pharmaceuticals Report Data Showing,Improvements in Sexual Relationship and Self-Esteem in Patients,with Erectile Dysfunction Treated with Bremelanotide 4Palatin Technologies and King Pharmaceuticals Report Data Showing,Improvements in Sexual Relationship and Self-Esteem in Patients,with Erectile Dysfunction Treated with Bremelanotide 5Palatin Technologies and King Pharmaceuticals Report Data Showing,Improvements in Sexual Relationship and Self-Esteem in Patients,with Erectile Dysfunction Treated with Bremelanotide 6Palatin Technologies and King Pharmaceuticals Report Data Showing,Improvements in Sexual Relationship and Self-Esteem in Patients,with Erectile Dysfunction Treated with Bremelanotide 7New Data Focuses on Abuse of Stimulant Medication 2New Data Focuses on Abuse of Stimulant Medication 3New Data Focuses on Abuse of Stimulant Medication 4New Data Focuses on Abuse of Stimulant Medication 5
Used for dilation of a tract to the kidney for removal of stones. Supplied sterile in peel-open packages. Intended for one-time use....
... for Urinary Control offers a revolutionary ... the symptoms of overactive bladder, including ... of urgency-frequency alone or in combination ... could not tolerate more conservative treatments. ...
... ELPHA 4 Conti is a battery operated dual-channel ... of conditions described below. ELPHA 4 Conti also ... STRESS- and faecal incontinence ELPHA 4 Conti provokes ... the user can feel which muscles need exercising. ...
... Set is the HDR solution which duplicates ... The template set consists of a small ... to the patient and is placed in ... Face Plates. The Stepper Holder is available ...
Medicine Products: