Our Platform
The healthcare industry is drowning in data, yet actionable insights remain elusive for many stakeholders. Our platform leverages the newly available insurance company price transparency machine-readable files, alongside other public and private data, to deliver critical financial and operational insights tailored to healthcare providers, payers, investors, and analysts.
By focusing on contracted rates, out-of-network reimbursements, and regional variations, we create reports, visualizations, and tools that help stakeholders make data-driven decisions, improve financial performance, and identify market opportunities.
Data Aggregation
Insurance Price Transparency Data: Detailed reimbursement and contracted rate information for every payer and plan across the U.S.
Cross-Specialty Comparisons: Insights across specialties to benchmark financial performance and operational efficiency.
Regional Focus: Variations in payer rates, billing practices, and out-of-network reimbursements at state and metro levels.
Supplementary Data Sources: Public datasets (CMS, AHRQ) and private partnerships to enrich reporting with claims data, operational benchmarks, and financial performance metrics.
Actionable Insights
Payer Performance Benchmarks: Which payers offer the best contracted rates for specific specialties and services?
In-Network vs. Out-of-Network Impact Analysis: What is the revenue impact of out-of-network billing compared to in-network agreements?
Regional Financial Trends: How do reimbursement rates vary by region, and what does this mean for providers’ strategies?
Operational Scorecards: Key financial and operational metrics to benchmark provider performance against industry peers
Our Services
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Pellentesque habitant morbi tristique senectus et netus et malesuada fames ac turpis egestas. Vestibulum tortor quam, feugiat vitae, ultricies eget, tempor sit amet, ante. Donec eu libero sit amet quam egestas semper. Aenean ultricies mi vitae est. Mauris placerat eleifend leo.
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Pellentesque habitant morbi tristique senectus et netus et malesuada fames ac turpis egestas. Vestibulum tortor quam, feugiat vitae, ultricies eget, tempor sit amet, ante. Donec eu libero sit amet quam egestas semper. Aenean ultricies mi vitae est. Mauris placerat eleifend leo.
Pellentesque habitant morbi tristique senectus et netus et malesuada fames ac turpis egestas. Vestibulum tortor quam, feugiat vitae, ultricies eget, tempor sit amet, ante. Donec eu libero sit amet quam egestas semper. Aenean ultricies mi vitae est. Mauris placerat eleifend leo.
Pellentesque habitant morbi tristique senectus et netus et malesuada fames ac turpis egestas. Vestibulum tortor quam, feugiat vitae, ultricies eget, tempor sit amet, ante. Donec eu libero sit amet quam egestas semper. Aenean ultricies mi vitae est. Mauris placerat eleifend leo.
Pellentesque habitant morbi tristique senectus et netus et malesuada fames ac turpis egestas. Vestibulum tortor quam, feugiat vitae, ultricies eget, tempor sit amet, ante. Donec eu libero sit amet quam egestas semper. Aenean ultricies mi vitae est. Mauris placerat eleifend leo.
Pellentesque habitant morbi tristique senectus et netus et malesuada fames ac turpis egestas. Vestibulum tortor quam, feugiat vitae, ultricies eget, tempor sit amet, ante. Donec eu libero sit amet quam egestas semper. Aenean ultricies mi vitae est. Mauris placerat eleifend leo.
Pellentesque habitant morbi tristique senectus et netus et malesuada fames ac turpis egestas. Vestibulum tortor quam, feugiat vitae, ultricies eget, tempor sit amet, ante. Donec eu libero sit amet quam egestas semper. Aenean ultricies mi vitae est. Mauris placerat eleifend leo.
Pellentesque habitant morbi tristique senectus et netus et malesuada fames ac turpis egestas. Vestibulum tortor quam, feugiat vitae, ultricies eget, tempor sit amet, ante. Donec eu libero sit amet quam egestas semper. Aenean ultricies mi vitae est. Mauris placerat eleifend leo.
Our Blog
- Beyond Benchmarking: How Data Can Improve Patient Access and OutcomesTransparency data isn’t just about dollars and cents—it’s a powerful tool for improving patient access and… Read more: Beyond Benchmarking: How Data Can Improve Patient Access and Outcomes
- The Hidden Impact of Payor Transparency on Provider RevenueHealthcare transparency is reshaping the way providers approach revenue cycle management (RCM). The federal mandate requiring… Read more: The Hidden Impact of Payor Transparency on Provider Revenue
- Transparency in Healthcare Pricing: What You Need to Know About Machine Readable FilesIn recent years, healthcare pricing transparency has become a significant focus for policymakers, patients, and industry… Read more: Transparency in Healthcare Pricing: What You Need to Know About Machine Readable Files
Unlock Transparency
Optimize Your Payor Contracts
Are your payer contracts leaving money on the table?
Our Regional Contract Rate Benchmarking solution provides actionable insights into how your reimbursement rates compare to market benchmarks in your area. Use this data to negotiate better contracts and maximize revenue.
Key Benefits:
- Access regional and payor-specific benchmarking data.
- Identify opportunities to renegotiate contracts.
- Ensure fair and competitive reimbursement rates.
Take Control of Your Payor Mix
Are you prioritizing the right payors?
Our Payor Performance Scorecards provide a clear view of denial rates, payment speeds, and underpayment patterns. Use this data to strengthen payor relationships and improve cash flow.
Key Benefits:
- Track denial trends and payment timelines.
- Prioritize efforts for high-impact payors.
- Improve financial outcomes with better insights.
Tailored Solutions for Unique Challenges
Have a specific challenge?
We build customized analytics solutions to address your organization’s unique needs, from payor mix optimization to denial prevention strategies.
Key Benefits:
- Fully tailored dashboards and reports.
- Solve specific business challenges with actionable insights.
- Ongoing support to ensure lasting success.
Benchmark Your Specialty’s Performance
Are you maximizing your specialty’s potential?
Our dashboards provide specialty-specific financial and operational benchmarks, so you can compare your performance to industry leaders and identify areas for improvement.
Key Benefits:
- Understand how your rates compare to others in your specialty.
- Identify high-performing service lines and optimize underperforming ones.
- Enhance profitability with targeted strategies.
Maximize Your Out-of-Network Revenue
Is going out-of-network helping or hurting your revenue?
We analyze reimbursement trends to uncover opportunities where out-of-network claims can outperform in-network rates. Make data-driven decisions to optimize your payer strategy.
Key Benefits:
- Compare out-of-network vs. in-network reimbursements.
- Identify strategic opportunities to stay out of network.
- Boost revenue while maintaining compliance.