Guidehouse (in)Sight Health™ Market Advisor

Guidehouse (in)Sight Health™ Market Advisor auto-ingests billions of the most current data elements published by health systems across the country, the government, and other publicly available repositories, including data from the Centers for Medicaid & Medicare Services, the Census Bureau, publicly available price transparency data, published clinical out-comes, brand rankings from the US News and World Report, and data from countyrankings.org. Collectively, this data offers a holistic view of markets, patients, and employees, enabling healthcare organizations to make informed decisions with a previously unattainable depth and clarity. Clients have reported increases of up to 8% in contract negotiations.

Business Use Cases:

1. Enter contract negotiations with authority and precision, highlighting areas for optimization in revenue cycle contracts
2. Inform business and network development strategies

Solution Features:

1. Market positioning and benchmarking
2. Service line level analysis
3. NPI Search with Info Display
4. Leverage de-identified claims data to compare rates with competitors
   

Solution components:

1. MRF and National data updated monthly
2. Visual Dashboards

Solution Value

1. Negotiate smarter contracts with payers for strategic service rates

Solution Advantages

1. Monthly data updates
2. Visuals facilitate interpretation of insights
3. Intuitive interface

Case Study:

Large Hospital in the Northeast Uses Market Intelligence Solution to Improve Revenue Cycle Management

• Challenge: A large hospital in the Northeast was facing challenges in negotiating revenue cycle contracts with Payer X. The hospital lacked visibility into market trends and was unable to identify areas for optimization in its revenue cycle contracts. Additionally, the hospital wanted to inform its business growth strategies, including potential business acquisitions and market entry points.
• Solution: The hospital utilized the Guidehouse (in)Sight Health™ Market Advisor solution to address their financial challenges with their Payer.
• Value: By using the solution, the hospital was able to negotiate smarter contracts with payers for strategic service rates, leading to improved revenue cycle management and increased revenue. It also helps inform markets that are prime for entry.
• Advantages: The solution's monthly data updates, visuals that facilitated interpretation of insights, and intuitive interface allowed the hospital to make informed decisions and improve its market position. The hospital was also able to inform its business and network development strategies, including potential business acquisitions.