Executive Summary
A recent study found that some medical procedures are priced
differently depending on the place where they are offered. A Utah based insurance company wanted to make sure that wasn’t the case in their company so
that their members could receive the fairest prices and refer members to the
cheapest option. This project takes a table received from a SQL query and separates
it into sorted groups through Pivot Table automation, and then compares how
much a medical procedure costs in varying places of service, whether a hospital
, doctor’s office, urgent care clinic, or an emergency room, and sees which one
is the most and least expensive of all available options. Then it calculates
the difference in pricing and calculated how much money the members could have
saved if they had all been charged the lowest price, and produces summary
statistics across all different kinds of procedures. The code was made flexible
to process different kinds of medical procedures that use different
classifications, and filters data based on the state and insurance plan used. Potential savings to customers and the insurance company of several million dollars were found if the discovered pricing discrepancies were resolved.
Links
- http://files.gove.net/shares/files/16w/jsee2/Final_Project_Write_Up.docx
- http://files.gove.net/shares/files/16w/jsee2/Excel_Final_Project.xlsm
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