INSIGHT #4: AUGUST 2023

Using MRF Data to Competitively Price Telehealth Services

Blue Plan Competitors Begin Incentivizing Telehealth

The end of the COVID-19 public health emergency in May of this year also meant the end of telehealth payment parity in many states. Recognizing the opportunity to renegotiate rates for telehealth services in markets with no binding law, national competitors are focusing on one of the most utilized services in telehealth: virtual behavioral health.

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Insight #3: Optimize Reimbursement and Pricing Strategies with MRF Data

Enriched MRF data helps Plans uncover pricing discrepancies and opportunities for rate renegotiation at the DRG category- and service-level.



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