数据的力量——从数据挖掘到消费者定价和医疗质量工具。

Benefits quarterly Pub Date : 2013-01-01
Leah C Malof
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引用次数: 0

摘要

无论是由运营商还是第三方管理人员提供的透明度工具,都依赖于市场和服务方面的充分经验,向消费者提供有关医疗保健费用和医疗质量的信息。如果人们使用这些工具并采取行动,个人消费者和雇主赞助的健康计划节省的机会显然是巨大的,而且是可能的。本文回顾了两项研究,表明在实施透明度工具并与消费者驱动的健康计划相结合后,消费者索赔经验转向成本较低的服务。它还概述了雇主可以实施的最佳做法,以精心设计干预措施,在医疗保健消费者的心目中吸引和创造价值。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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The power of data--from data mining to consumer pricing and quality-of-care tools.

Transparency tools, whether offered by carriers or third-party administrators, rely on adequate experience, by market and by service, to provide information to consumers about health care costs and quality of care. The opportunities for savings to individual consumers and to employer-sponsored health plans are clearly significant and possible if people will use the tools and act. This article reviews two studies showing a shift in consumer claims experience to less costly services afte the implementation of a transparency tool and when combined with a consumer-driven health plan. It also outlines best practices employers can implement to carefully craft interventions to engage and create value in the minds of health care consumers.

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