> They're very convinced that evicore delivers superior outcome at lower cost.
A superior outcome by what measure? Non-treatment with a cheaper life insurance payout than cost of treatment is "superior". Treatment with a worse long term outcome that is cheaper overall is "superior".
Insurance companies' primary master is always the payor. Always.
They talk about serving the patients, but payors are who pay the bill.
"Superior outcome" = Careful dance between aggregate average outcome vs total cost of care. It's a typical insurance industry doublespeak, and an very effective way to sell to payors.
A superior outcome by what measure? Non-treatment with a cheaper life insurance payout than cost of treatment is "superior". Treatment with a worse long term outcome that is cheaper overall is "superior".