RWJF & HSS Provider Network Challenge
DocSpot Plan Compare
July 13, 2015
Overview gives plan summaries
Users can update
coverage details
Users can filter
plans by carrier or
plan type
Users can sort by
what’s important
to them
Users can
select plans for
more detailed
comparisons
Scores indicate breadth of networks
Free-text filter
allows users to
easily customize
their searches
Breadth of
network
shown for
specific
categories
Composite
overall scores
make it easier
to compare
across plans
Compare plans in greater detail
Compare breadth of networks
Chart shows which
providers accept
which plans
Tooltip explains
concept of
network score
Map helps visualize networks
Profile shows more provider details
In some cases,
providers have
reported whether
they are accepting
new patients
Ratings page
shows reviews
and allows
people to leave
reviews
Sources for the
provider profile
listed at the
bottom of page
● National Provider Identifier registry
● Medicare Provider Utilization and Payment data
● DocSpot also indexes
○ Hundreds of hospital directories
○ Dozens of websites with provider reviews
DocSpot indexes a variety of
sources for provider information
● Leverage existing technical expertise, infrastructure, and provider database
(developed over the last several years)
● Business models for product launch after contest:
○ Enterprise (preferred): license network analysis tool (with provider index) to
health exchange websites and other insurance compare websites that want
to differentiate themselves from current offerings
○ Direct-to-consumer
■ Develop prototype into fully functional product, using real plan data for
select states
■ Either partner with insurance brokers or become licensed to benefit from
referrals (similar to other commercial insurance finder sites)
Operating plan: improve people’s
search experience
● Founded in 2009 with the mission of helping people make better health care
decisions
● Offers a web service for sophisticated search across doctors and hospitals,
allowing users to select highly specific criteria
● Specializes in integrating large data sets to give users a holistic perspective
of their options
● Currently partners with industry leaders of health care transparency
solutions
● Believes in the power of transparency and market pressures to change the
industry landscape
Company has history of
innovative solutions

DocSpot Plan Compare

  • 1.
    RWJF & HSSProvider Network Challenge DocSpot Plan Compare July 13, 2015
  • 2.
    Overview gives plansummaries Users can update coverage details Users can filter plans by carrier or plan type Users can sort by what’s important to them Users can select plans for more detailed comparisons
  • 3.
    Scores indicate breadthof networks Free-text filter allows users to easily customize their searches Breadth of network shown for specific categories Composite overall scores make it easier to compare across plans
  • 4.
    Compare plans ingreater detail
  • 5.
    Compare breadth ofnetworks Chart shows which providers accept which plans Tooltip explains concept of network score
  • 6.
  • 7.
    Profile shows moreprovider details In some cases, providers have reported whether they are accepting new patients Ratings page shows reviews and allows people to leave reviews Sources for the provider profile listed at the bottom of page
  • 8.
    ● National ProviderIdentifier registry ● Medicare Provider Utilization and Payment data ● DocSpot also indexes ○ Hundreds of hospital directories ○ Dozens of websites with provider reviews DocSpot indexes a variety of sources for provider information
  • 9.
    ● Leverage existingtechnical expertise, infrastructure, and provider database (developed over the last several years) ● Business models for product launch after contest: ○ Enterprise (preferred): license network analysis tool (with provider index) to health exchange websites and other insurance compare websites that want to differentiate themselves from current offerings ○ Direct-to-consumer ■ Develop prototype into fully functional product, using real plan data for select states ■ Either partner with insurance brokers or become licensed to benefit from referrals (similar to other commercial insurance finder sites) Operating plan: improve people’s search experience
  • 10.
    ● Founded in2009 with the mission of helping people make better health care decisions ● Offers a web service for sophisticated search across doctors and hospitals, allowing users to select highly specific criteria ● Specializes in integrating large data sets to give users a holistic perspective of their options ● Currently partners with industry leaders of health care transparency solutions ● Believes in the power of transparency and market pressures to change the industry landscape Company has history of innovative solutions