Jeffrey Kramer (born 15 July 1945) is an American film and television actor and producer. (wikipedia)
We needed to take that data and start using it in a new way. We needed to identify and analyze where the dollars were being spent.
If the average is $120 for an office visit, for example, we know that we have to negotiate a better rate if a provider is charging $300.
We are using the tool to identify the providers that give the best results for our customers. We want to make sure our members can get treatment at the proper time and still pay a fair and reasonable amount to the provider.
Various events in the market set off a lot of bells and whistles. We realized we needed to start controlling costs, and we needed to start focusing on medical costs and data. We needed to dig in and know where the dollars were being spent.
