Deerhold and Windsor Strategy Partners Launch Solution that Enhances Network Analysis for Stop-Loss Carriers and MGUs
Solution leverages healthcare price transparency data and market-leading actuarial adjustments to boost underwriting performance.
"We've heard time and again that risk assessment has been hindered by a reliance on traditional tools that are powered by data that's out-of-date or limited in scope. This flawed data feeds into actuarial models, creating a distorted view of the risk landscape that results in misestimations of future liabilities." said
PRIZM Impact, powered by Deerhold, is designed to help underwriting teams determine the appropriate provider discount assumptions when pricing stop-loss coverage for self-funded employer groups. By integrating healthcare price transparency data, PRIZM Impact provides up-to-date discount factors for regional and national health insurance carriers, including the major national carriers. Discounts are presented from first dollar as well as above and below a comprehensive set of specific deductibles. This data enables comparisons across carrier networks and regions, modeling the impact on discounts across varying claim sizes and mix of services.
"We are excited to be working with this revolutionary information. To be both competitive and profitable, underwriters need to have the most accurate information possible for the values of networks by specific geographies and at various specific loss thresholds. PRIZM Impact is the result of our collaboration with Deerhold and we believe it will revolutionize stop-loss rating," said
Deerhold clients can access insights from PRIZM Impact via the Deerhold platform, as an Excel extract, or within their existing workflows (e.g., health rating manuals or software) via API integration.
For more information, contact
The PRIZM platform, powered by Deerhold, features other solutions, including (1) PRIZM Rates, which offers market-based pricing insights for providers and payers, (2) PRIZM Networks, used by stop-loss carriers, MGUs, brokers, and commercial health plans to evaluate health plan networks, and (3) PRIZM Shopping, a member shopping tool that helps TPAs, commercial health plans, and self-funded employers meet transparency in coverage requirements.
About Deerhold
Deerhold is a digital technology company, delivering SaaS-based healthcare solutions in the
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View original content:https://www.prweb.com/releases/deerhold-and-windsor-strategy-partners-launch-solution-that-enhances-network-analysis-for-stop-loss-carriers-and-mgus-302659921.html
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