Better Data, Better Care

Health insurance startup Oscar retained most of its 54,000 New York City members last year even as it halved its provider network. The tactic: Use big data to curate a better experience, despite fewer choices.
 
Oscar combed insurance claims and held physician focus groups to categorize doctors based on what they actually do, not their listed medical subspecialties. The company also prioritized including physicians who provide services Oscar members commonly use. This year, out-of-network costs are down, the company says.
 
“It seems intuitive and rational in retrospect, but it hasn’t been done before,” says CEO Mario Schlosser.
 
Source: Wired

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