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Coming soon: The Comparative Procedure Costs tool on the NaviNet® web portal

March 1, 2013

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IBC recognizes the increasing demand and interest to understand the cost of health care services, along with the importance of a shared collaboration between members and providers in helping members better understand their health care options. We are excited to announce a new tool designed to offer an interactive environment where IBC-participating primary care physicians (PCPs) in the Pennsylvania five-county service area can review cost information and become better informed about facility cost ranges for select outpatient services. This tool will also assist participating PCPs in maximizing their performance under IBC?s Quality Incentive Payment System (QIPS) program. We will later expand this tool to include participating specialists and hospitals in support of IBC?s accountable care payment model — the Integrated Provider Performance Incentive Plan (IPPIP).

A new transaction — called Population Management Tools — will soon be added to NaviNet. It allows IBC-participating PCPs in the Pennsylvania five-county service area to access the new Comparative Procedure Costs tool. This tool will provide network cost ranges and provider-specific relative cost rankings for a menu of treatment categories. These rankings, which will be displayed at the facility level, are based on the historical total cost of each encounter based on the contracted facility and professional costs. Future enhancements to this tool will include additional treatment categories.

Look for instructions on how to access and use the new tool in future editions of Partners in Health UpdateSM.

NaviNet® is a registered trademark of NaviNet, Inc., an independent company.

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