Case Study
Contract Configuration
Contract Configuration Case Study Humanizing Data for Purposeful Change AArete.com | 312.585.0800 SITUATION APPROACH RESULTS A managed care organization was experiencing provider abrasion correlated to incorrect reimbursement per provider’s contractual terms and needed to conduct a root cause analysis of their configuration. The insurer approached AArete to perform a detailed review of major provider contracts for ancillary services against claims data to identify overpayments for recoupment, financial volatility, and root causes to correct the configuration system for future cost avoidance. AArete worked closely with client stakeholders to acquire the necessary data elements, including provider contracts, claims data, and an understanding of the current provider landscape. Using ou