Case Study

Developing innovative payment models to support member care

Developing innovative payment models to support member care

Developing innovative payment models to support member care

Pages 7 Pages

Merative software empowers The Ohio State University Health Plan to control rising costs while maintaining high standards of care through advanced health insights and analytics. By leveraging this sophisticated software, the team examined variability across surgical procedures to identify high-cost areas suitable for process engineering improvements. The technology enabled the development of innovative linear payment models that integrate critical quality metrics into the reimbursement structure. These advanced digital tools streamline data analysis, allowing the health plan to foster clinical excellence and operational efficiency. Ultimately, Merative provides the essential analytical foundation to transform complex healthcare data into actionable strategies that support sustainable membe

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