Video: Medicare Benchmarking - HealthEdge Source
The Medicare Benchmarking tool in HealthEdge Source™ Analytics offers health plans a robust way to compare their lines of business against Medicare benchmarks. This tool provides valuable insights by allowing data to be viewed through various aggregators, such as claim header, claim line configuration, or ancillary fields.
Key Features:
- Flexible Data Aggregation: Health plans can analyze data using different aggregators, including claim header, claim line configuration, or ancillary fields.
- Visual and Exportable Reports: The data can be visualized as bar charts or grids, making it easier to interpret. Additionally, a comprehensive list of zip codes is available in an exportable report, detailing the number of claims, edits, and production totals versus the Medicare benchmark, both in dollar amounts and percentage differences.
Value for Health Plans:
- Enhanced Comparisons: By comparing various lines of business to Medicare benchmarks, health plans can identify areas of improvement and ensure they are aligned with industry standards.
- Detailed Insights: The ability to view data by different aggregators and visualize it in multiple formats provides health plans with detailed insights into their operations.
- Operational Efficiency: Exportable reports allow for easy sharing and further analysis, helping health plans streamline their operations and make informed decisions.
Medicare Benchmarking tool equips health plans with the tools necessary to optimize their performance, improve financial outcomes, and maintain compliance with Medicare standards.
