Rao Management, Llc Negotiated Rates & Price Benchmarks (Methuen, MA)

Across the 4 procedures benchmarked for this provider, most negotiated rates land above the local market.

About this Health Maintenance Organization rate data

Gigasheet collects negotiated rates published by every payer under the federal Transparency in Coverage rule, then normalizes and cleanses them into a single analysis-ready dataset. We enrich those rates with provider, geographic, and reimbursement data from proprietary and open source healthcare intelligence, then benchmark every rate against Medicare, peer providers, and the local market.

For Rao Management, Llc, that covers common Health Maintenance Organization procedures across Aetna, BCBS, Cigna, and UnitedHealthcare. (1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

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How this is calculated

This provider's published rates, compared code by code against the market they compete in.