Payers can use detailed market intelligence derived from claims data to assess a market for expansion or acquisition. Claims data on volumes, referral networks, and reimbursement rates can provide a full market view of expected activity and the existing opportunity.
That data can enable an unbiased assessment of existing practice behaviors across payers – physician, facility, and patient volumes; diagnoses and procedures performed; preferred care sites for key services; and key referral relationships – to pinpoint recruitment targets.
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