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Pricing Transparency

Provider consolidation, the ACA and Accountable Care Organization have all resulted in healthcare industry consolidation. Unit price for services is now a major cost driver for payers, often more than utilization. Prices within the same network for the same services often vary by a factor of 10x with no quality difference. Members need pricing and provider quality information and transparency to effectively "shop" for healthcare services - especially with CDHP of high deductible plans. Any employer that can provide a provider quality and pricing transparency tool can effectively reduce expenses by 7-13% without any decrease in employee benefits and engage their members in the purchasing decisions currently missing in most plan designs.

For more information on Provider Transparency and Pricing please contact us at info@mma-sbs.com. 

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