4.14 Provider Cost Allocation
The Provider Cost Allocation Analysis report breaks down Plan Sponsor paid dollars between network and non-network facilities and physicians.
The graph shows Network Facilities (dark blue), Non Network Facilities (light blue), Network Physicians (dark green), and Non Network Physicians (light green).
- Facility: A hospital or other general medical facility (i.e., not a physician). More.
- Physician: A doctor or other medical practioner (i.e., not a facility). More.
- Network: In network (PPO) Plan Paid dollars broken out by facility and physician.
- % (of Network): Percentage of network claim activity between facility and physician.
- Non-Network: Plan Paid dollars broken out by non contracted facility and physician.
- % (of Non-Network): Percentage of non-network claim activity between facility and physician.
Helpful Hints:
This report provides insight into the covered populations tendencies for provider and network utilization and can be use to determine the potential effectiveness of plan modifications that encourage network steerage.