Importance

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Abstract

Computer implemented methods and computer program products for reducing the ancillary medical costs of an insurance network with a plurality of physicians participating therein. Computer implemented methods can include, for example, establishing an communication network between a healthcare consultation group and the insurance network, and accessing data associated with the plurality of physicians via the communication network. Embodiments can further include, for example, identifying, in a computer process, physicians who have engaged in ancillary medical procedures that are not preferred by the insurance network, and modifying behaviors of these physicians to reduce the ancillary medical costs of the insurance network. Embodiments can also include, for example, determining, in a computer process, whether the ancillary medical costs of the insurance network have reached at least a preselected level, and distributing a predetermined percentage of saving attributed to reducing ancillary medical costs of the insurance network to the healthcare consultation group.

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First Claim