How Payers Can Gain Insights From New Data

Sandeep Soni, Director for KMS Technology, gives some tips on how payers can gain insights from new data. 

The Healthcare Reform Act, also known as the Patient Protection and Affordable Care Act, is driving fundamental changes across all healthcare stakeholders, including payers, providers and plan members.

Payers have to compete in the individual market and differentiate themselves based on cost and quality of service, offering a good consumer experience while adhering to mandated Medical Loss Ratio (MLR) and benefit structure requirements.