Leverage advanced analytics and tactical advisory services to improve cost efficiency and manage variation across your provider network.
Rising medical inflation and significant cost variation across providers make it difficult for insurers to manage long-term health expenditure. Without visibility into how different providers treat clinically similar cases, payors struggle to benchmark cost efficiency and identify opportunities for improvement.
Even with data in hand, it’s not easy to translate insights into action – from negotiating equitable fee schedules to embedding changes into operational workflows and claim processes. Insurers need a more systematic way to manage their provider networks that’s anchored in analytics and implemented through data-led negotiations, benefit design, and compliance tracking.
Manage medical costs and contract compliance with Provider Management
Leverage advanced analytics and tactical advisory services to improve cost efficiency and manage variation across your network. Provider Management helps you benchmark costs for similar clinical cases, assess value of current contracts, negotiate more equitable fee agreements, and steer policyholders toward preferred hospitals – all through an end-to-end solution that combines data-driven insights with proven negotiation frameworks.
Why Provider Management?
Risk-adjusted efficiency benchmarking
Compare provider performance on a level playing field, with adjustments for case complexity (procedures, conditions, demographic factors, etc). Rank and segment providers by cost efficiency and outcome measures to identify preferred healthcare partners.
Extensive cost variation analysis
Drill down into diagnoses and procedures, specialist fees and drug pricing, to surface cost savings opportunities. Pinpiont where shifting to generics, converting inpatient cases to day surgeries, or renegotiating procedure fees can yield the greatest impact.
Tactical engagement strategy & process redesign
Secure better agreements with hospitals – receive expert guidance on developing data-backed fee proposals and negotiation playbooks, dedicated training in strategic provider engagement. Redesign operational processes to implement revised contracts and steerage to preferred hospitals.
Compliance tracking & savings validation
Monitor real-time adherence to negotiated discounts, bundled fees, and service rates. Track actual savings versus targets and catch any offsetting price increases.
With Provider Management, you can:
Secure and enforce more equitable provider agreements
Achieve ~10-15% fee reductions across your network, and drive ~3-4% immediate claims savings by shifting to cost-effective drug alternatives.
Improve network performance efficiency
Lower overall estimated claim costs by ~7-10% through targeted steerage of patients to high value providers identified via our benchmarking.
Moderate long term cost inflation
Realise ~1-2% savings in year one, and ~10-15% cumulative reductions over 3-5 years, by systematically uncovering and eliminating embedded inefficiencies.
Discover how provider performance analytics and expert advisory services can improve cost efficiency across your healthcare network.
Provider Management: Product Information and Insights
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Amplify Health Wins the Technology Initiative Excellence Award at InsureTech Connect Asia 2025
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