Medical Benchmark Data
Medical Cost Benchmarks encompasses disease-specific, national and regional cost datasets including medication, procedure and diagnostic costs. Information can be filtered by demographic, physician specialty or indication.
Example 1. highlights 39.3% of a Houston based PCP referrals were out of network
- Detailed patient demographics (e.g., geographic region, age, gender)
- Disease severity, including complications and co-morbidities)
- Utilization of ancillary services (e.g., diagnostic and laboratory services, surgical procedures)
- Patterns of pharmacotherapy (e.g., the brands or classes of prescription drugs used)
- Facility utilization (e.g., inpatient admissions, LOS, ER utilization)
- Payers including Commercial, Managed Medicaid and Medicare Advantage
- Practice patterns of the physician specialties that actually treat the specific disease being analyzed
- Episode costs and resource utilization across the continuum of patient care services (inpatient, outpatient, emergency room/urgent care, pharmacy)
Cost Drivers by Diagnosis
Cost Drivers by Admission Type
