Doctors fighting insurers with data

Back to TopCommentsE-mailPrintBookmark and Share
On The Beat Industry News In Brief

Doctors routinely complain that they have puny leverage when negotiating with health insurers, especially Anthem Blue Cross and Blue Shield, which has more than 42-percent market share in the Indianapolis area.

So in response, the Indianapolis Medical Society wants to arm its physician members in their contracting battles with insurers.

The group has partnered with Cincinnati-based Praesentia Consultation LLC to offer its Benchmark Database at a discount to society members. The online database allows physicians to compare the reimbursement rates they receive from three different health insurers against the average negotiated rates in the Indianapolis market. The database includes reimbursement rates for 450 procedures.

"We are making use of one of their services in our practice and are very excited about the value and cost-effectiveness of the service,” society board member Dr. Christopher Bojrab said in a statement.

Praesentia insists that its service complies with the Federal Trade Commission's antitrust regulations, including confidentiality protections.


  • Wouldn't it be nice
    Gee, if only the patients have the same access we could negotiate our own healthcare. Health insurers are only overpaid billing services anyway.

Post a comment to this story

We reserve the right to remove any post that we feel is obscene, profane, vulgar, racist, sexually explicit, abusive, or hateful.
You are legally responsible for what you post and your anonymity is not guaranteed.
Posts that insult, defame, threaten, harass or abuse other readers or people mentioned in IBJ editorial content are also subject to removal. Please respect the privacy of individuals and refrain from posting personal information.
No solicitations, spamming or advertisements are allowed. Readers may post links to other informational websites that are relevant to the topic at hand, but please do not link to objectionable material.
We may remove messages that are unrelated to the topic, encourage illegal activity, use all capital letters or are unreadable.

Messages that are flagged by readers as objectionable will be reviewed and may or may not be removed. Please do not flag a post simply because you disagree with it.

Sponsored by

facebook - twitter on Facebook & Twitter

Follow on TwitterFollow IBJ on Facebook:
Follow on TwitterFollow IBJ's Tweets on these topics:
Subscribe to IBJ