Is your complex network spend bleeding dollars from your health plan’s bottom line?
For health plan executives, achieving predictable profits and MLR improvement requires a network that is both adequate and financially viable. But fragmentation across contracts and claims can hide massive financial loss.
TOG Network Solutions transforms your network from a liability into a strategic advantage. Our data-driven Network Intelligence platform instantly unifies all dimensions of the network lifecycle to deliver:
- Cost & Contracting Intelligence: Stop overpaying. We proved one client’s exclusivity deal was costing them their best rates.
- Rapid Financial Loss Mitigation: Pinpoint and stop hidden financial losses. We analyze spend to identify specific hospitals and other sources driving P&L problems.
- Untapped Contractual Levers: Find and activate forgotten clauses, like the claim system edits that saved one client money when they were overpaying a hospital.
- Data-Backed Negotiation: Equip your team with competitor benchmarks showing where Medicare would pay four, five, or even one hundred percent less to tackle high-cost billing errors and guarantee market-competitive rates.
Stop searching for a needle in a haystack. Drive measurable MLR improvement with a high-performing network.
Schedule a meeting with TOG today and turn your network data into a source of strategic profit.