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Working to help improve the cost of care for medical payors

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$ 10 billion

in potential savings annually

10 +

employees across the US

What is 鲍鲜膜视频?

鲍鲜膜视频鈥檚 services help approximately 700 healthcare payors across the country realize more than $22 billion in potential savings annually. We help our clients manage their health plans through a number of different and innovative healthcare cost management solutions that emphasize fairness, a legacy of strong provider relationships, efficiency and affordability. We鈥檙e honored that our client base includes all 15 of the nation鈥檚 top 15 healthcare payors (by market share). Our staff of over 2,500 employees across the US helps make these savings opportunities possible by interpreting clients鈥� needs and tailoring healthcare cost management solutions that leverage any or all of our four distinct service categories.

What services does 鲍鲜膜视频 offer?

Analytics-Based 鲍鲜膜视频

鲍鲜膜视频 offers a range of data analytics-driven healthcare cost management services that can be combined to help your organization strike the right balance not only today, but also when priorities shift tomorrow. Our comprehensive, transparent, data-driven and defensible analytics-based services include: reference-based pricing, negotiated agreements and Value-Driven Health Plan services.

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Data & Decision Science 鲍鲜膜视频

鲍鲜膜视频 offers a variety of solutions that apply modern methods of data science to drive optimal benefit plan design, improve healthcare outcomes, and reduce the total cost of care. Our suite of services support virtually all types of payors including: employers, brokers and TPAs; medical, supplemental and stop-loss carriers; and benefit administrators and PEOs.

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Network-Based 鲍鲜膜视频

Beginning four decades ago as a New York hospital network, 鲍鲜膜视频鈥痶oday has direct contracts with more than one million providers across the country through our PHCS and 鲍鲜膜视频 Networks. Our clients enjoy flexible network configurations that fit鈥痶heir鈥痯recise needs, depending on whether they seek a nationwide primary PPO, or a regional primary PPO with a complementary arrangement.

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Payment and Revenue Integrity 鲍鲜膜视频

鲍鲜膜视频 helps our clients to eliminate waste and abuse by preventing, correcting and recovering incorrect payments. We track healthcare claims through their entire lifecycle by identifying improper charges before and after payment. Our services are connected, making it possible for us to not only help recover inaccurate claim payments, but also to correct the root cause for the incorrect payment, thereby stopping the issue from occurring on future claims.

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Who does 鲍鲜膜视频 work with?

We work closely with healthcare payors, both large and small, to understand their unique needs and craft optimum cost-containment solutions for them. Our 40+ year legacy of contracting with healthcare providers allows us to offer flexible provider networks to commercial, government and property and casualty payors. Additionally, we work with third-party administrators (TPAs), brokers and consultants as well as employer groups on developing tailored healthcare cost-containment solutions that meet their needs.

Who does 鲍鲜膜视频 work with?

鲍鲜膜视频 Earns 2023 Great Place to Work Certification鈩�

August 24, 2023 鈥� 鲍鲜膜视频 (NYSE: MPLN) (鈥湵誓な悠碘€� or the 鈥淐ompany鈥�), a leading provider of technology-enabled end-to-end cost management, payment, and revenue integrity solutions to the U.S. healthcare industry, is proud to announce it has been Certified鈩� by Great Place to Work庐 for the second consecutive year.