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Benchmarking Case Study
A multi-state, physician-owned health plan was receiving
pressure from its member physicians to raise the reimbursement
rates paid by the group. Sinaiko was engaged to conduct a
benchmark analysis of how the plan’s rates compared
to those paid by other payors in the market and summarized
the findings for each specialty’s specific service
mix. The report was effective not only in demonstrating that
the group’s rates were already competitive, but also
that certain specialties received reimbursement well above
area averages. |
