Becker’s Payer Issues Podcast
The New Era of Healthcare Transformation: How Payers Can Leverage Data for Continuous Improvement
Mar 18, 2025
Join Aarti Karamchandani, Chief Growth Officer at MacroHealth and a veteran in the healthcare payer industry, as she shares her insights on transforming healthcare through data. They discuss how price transparency can be a game-changer in quality and cost management. Karamchandani highlights the necessity of interoperability for effective data sharing and patient care. The conversation also covers the challenges payers face with legacy systems and the need for a platform-based mindset to enhance patient experiences and drive down costs.
19:16
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Quick takeaways
- Payers can leverage price transparency data to optimize reimbursement strategies and reduce costs while enhancing the quality of care.
- Improving interoperability allows payers to enhance data sharing and insights, leading to better workflow optimization and member experiences.
Deep dives
Leveraging Price Transparency for Improved Care
Payers can utilize price transparency data to enhance the quality of care while reducing costs. By engaging in data-driven negotiations, payers can determine normalized costs for various services, optimizing their reimbursement strategies with providers. Furthermore, combining this data with internal payer information enables the identification of cost variances that might exceed market norms, allowing payers to adjust their networks accordingly. Such efforts contribute to the creation of high-quality, affordable healthcare access, ultimately benefiting consumers while driving down overall healthcare costs.
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