Consultants flag network discounts and reference‑based pricing as high‑value levers
Milliman’s network analysis showed two major carriers with materially stronger discounts and broad provider penetration; consultants also presented repricing versus Medicare (combined facility allowed ~223% of Medicare) and discussed reference‑based pricing, direct contracting and enhanced audit approaches as cost‑containment tools.
The full story
Milliman and Segal presented an analysis of network discounts, disruption (network penetration), and facility pricing relative to Medicare as potential levers to reduce claim costs.
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