Healthcare Bluebook
Healthcare Bluebook offers a Quality & Cost Navigation solution that helps users find high-quality care at a Fair Price and provides various services to reduce healthcare costs and improve transparency.
Services
Healthcare Bluebook provides a range of services aimed at helping users navigate healthcare quality and cost. The Quality & Cost Navigation solution uses a color-coded system to assist users in finding high-quality care at a Fair Price. Additionally, the Bluebook CareConnect service offers personal guidance to high-value in-network providers for high-cost complex procedures. Another notable service, Bluebook Rx, helps decrease employer pharmacy spend by directing members to lower-cost yet equally effective medications.
Data and Analytics
Healthcare Bluebook owns the largest healthcare quality and cost dataset in the United States, covering millions of procedures across more than 10 million lives. Their Fair Price™ is derived from an independent nationwide database of medical payment data and is tailored to various geographic areas. The dataset includes risk- and volume-adjusted quality metrics based on patient outcomes. The Quantros Outcomes Analytics software provides insights into the performance of hospitals, systems, and physicians across the healthcare continuum.
Compliance Solutions
Healthcare Bluebook offers Bluebook Comply, a compliance solution to assist health plans, TPAs, and self-insured employers in meeting Transparency in Coverage rules and No Surprises Act mandates. The aim is to ensure that all involved parties adhere to regulatory requirements, thereby enhancing transparency and reducing unexpected costs for patients.
Healthcare Provider Quality
Through methodologies that include severity and risk adjustment, Healthcare Bluebook provides accurate comparisons of healthcare quality. The CareChex awards program is based on a peer-reviewed quality scoring system that compares inpatient quality performance across all general, acute care, non-federal hospitals in the nation. Additionally, the acquisition of Quantros' quality division has expanded Healthcare Bluebook's capabilities to include outpatient quality data.
Client Base
Healthcare Bluebook serves more than 8,000 employers, which include municipalities, state governments, Fortune 500 companies, trade unions, and sharing ministries. Their services are designed to cater to a wide range of organizational needs, ensuring high-quality care navigation and cost-effective medical spending.