Complimentary On-Demand Webinar

Negotiate Favorable Payer Rates with Transparency Data

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The CMS Price Transparency and Transparency in Coverage (TiC) rule requires both hospitals and payers to publicly disclose their negotiated rates for all services to increase market competition and drive down the cost of health care services.

However, due to the lack of standardization and required fields, it is cumbersome to navigate the disparate data and risky to compare negotiated rates for “like” services.  This session will provide a step-by-step process on how to utilize machine-readable file data to improve the comparability of negotiated rates and a strategy for hospitals and health systems to level the playing field with payers.

  • Understand the pros and cons of using payer machine-readable files
  • Learn how to improve the usability of negotiated rates for ‘apples-to-apples’ comparisons.
  • Pinpoint areas of opportunity where negotiated rates are lower than your peers at the payer, product/plan, patient class, and service line category
  • Calculate your negotiated rate position in the market and generate increased reimbursement from payers

Unlock the power of standardized and normalized CMS price transparency data from machine-readable files with our cutting-edge solution. 
By revolutionizing the way healthcare organizations manage and leverage reimbursement information, we enable you to negotiate payer contracts with confidence and achieve optimal reimbursement rates. Say goodbye to manual data manipulation and hello to streamlined negotiations and improved financial performance.

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