The history of healthcare reimbursement has largely been an effort to contain costs through one method: negotiating discounts from billed charges. Data iSight aims to change history by arming payers with a completely new – and smarter way– to do business.
Data iSight is a true healthcare revolution. For the first time, every healthcare patient, payer, and provider can see the actual cost of care and the fair reimbursement for medical services.
Payers – including insurance carriers, third-party administrators, and self-insured employers – use Data iSight’s cost-of-care approach to save an average of 49% from billed charges. Compare that cost-containment figure to the average 15-20% savings with conventional negotiations from arbitrary hospital out-of-network charges.
Core Elements of the Data iSight Solution
- Sound Data: Data iSight starts with nationally recognized data sets that represent 175 million+ inpatient and outpatient discharges.
- Deliberate Benchmarking: Data iSight determines the average cost to provide services based on similar claims and facilities nationwide.
- Reasonable Margin: Data iSight applies a reasonable margin on every claim, resulting in appropriate pricing, as well as ensuring the provider’s ability to make money on every procedure.
- Complete Transparency: For the first time, Data iSight gives payers, providers and patients access to the exact same information.
This patented solution offers the potential for true systemic change and extraordinary benefits to all parties.