At IllumiCare we see every order for tests and medications. We know the ordering provider for every clinical order. And, we know the wholesale cost of every clinical order. These data allow us to accurately measure spend per provider (risk-adjusted) and track changes before and after go-live.
When providers are given the wholesale cost of medications, labs and radiology tests in real-time (in context with the electronic medical record), they become more diligent in their ordering and they tend to order lower cost tests and medications. This also lowers patient risks associated with overutilization (e.g., anemia from phlebotomy blood loss, cancer from medical radiation, etc.).