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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 patent-pending intelligence offers the potential for true systemic change and extraordinary benefits to all parties.