Solutions.
Effective solutions are created through knowledge and experience. Prospective Strategies guides you through the chaos of constant industry changes in healthcare.
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Market Intel Solutions Using CMS Public Use Files
CMS regularly publishes hundreds of Public Use Files (PUF) which can be leveraged for research, reference and data analytics. These files contain valuable market information that can provide insights on costs, quality, program enrollment, payer/provider profiles and more. Since these files are not “research-identifiable”, they do not require any special Data Use Agreement with CMS. The potential for health payers, PBMs and providers to harness this data to extract valuable insights for business is enormous.
Competitive Market IntelligenceConsolidating competitive information on MAPD benefits, network, enrollment, service area, formulary and Star Ratings — and having it at your fingertips empowers strategic and efficient decision-making. It enables product, sales & marketing, and finance to operate efficiently and cohesively. Streamlining this data enables competitive profiling and benchmarking to inform superior plan offerings:
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MAPD Benefit, Network and Formulary DesignThe MAPD marketplace is highly commoditized and competitive with respect to plan benefits and features. Competition varies by geography and with over 6,000 unique MAPD plans on the market. Your ability to set benefit design effectively demands data-efficient solutions.
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Population Health and Risk Performance
Healthcare payers and providers are increasingly segmenting their populations based on clinical and non-clinical profiles. This enables not only improved clinical care and cost management but also informs marketing campaigns and member communications.
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Wondering where to begin?
Prospective Strategies can help you explore the possibilities in harvesting this vast amount of data to create effective solutions for your business needs. As your strategic CMS data consulting partner, we can assist you with structure and design custom solutions that enhance your decision-making abilities. Whether your need is basic analytic solutioning or comprehensive and scalable solutions, we can help.
Find out more by calling us at 888.503.6550 or emailing us at i[email protected]
Prospective Strategies can help you explore the possibilities in harvesting this vast amount of data to create effective solutions for your business needs. As your strategic CMS data consulting partner, we can assist you with structure and design custom solutions that enhance your decision-making abilities. Whether your need is basic analytic solutioning or comprehensive and scalable solutions, we can help.
Find out more by calling us at 888.503.6550 or emailing us at i[email protected]