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Meet growing needs for innovative insurance solutions while increasing operational health and improving compliance.
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Analyze and benchmark utilization and costs using the Health Cost Guidelines—Grouper, which sorts medical and pharmacy claims data into hospital, surgical, medical, and other benefit service categories using Health Cost Guidelines (HCG) definitions.
Use HCG Grouper software to:
The HCG Grouper is a platform-independent standalone application that can be quickly installed and run on a standard Windows PC. Import claims in flat file format and receive results output in formats that lend themselves to a flexible integration model with the vast majority of commercially available databases or analytical applications.
The HCG Grouper:
As the premier health management consulting firm, the Health Cost Guidelines are used daily by our own in-house actuarial consultants for insight into the key drivers of healthcare costs and utilization.
The Health Cost Guidelines Suite includes the following products:
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