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Medicare Reference Pricing

As more and more employers, health plans, TPA's and brokers consider a move toward reference-based pricing strategies in their plan designs, there is an increasing demand to analyze plan allowed amounts against Medicare pricing equivalencies. This can take a lot of time and manual effort, and the comparison output is often inaccurate and unreliable, as regional pricing, place of service, gap-filling when no Medicare price exists, and other factors need to be taken into account for an accurate comparison. Deerwalk has simplified the process by fully integrating and automating accurate Medicare benchmark pricing information directly into the Deerwalk Plan Analytics product.