Advanced healthcare analytics, news and insights powered by transparency data. Deep dive into pricing patterns, market dynamics, and healthcare economics.
The public disclosure of in-network negotiated rates reveals extreme price variation for the same service, directly impacting the cost-conscious healthcare consumer.
An in-depth analysis of how a truly transparent market could fundamentally change the competitive landscape, patient behavior, and business models in healthcare.
In-network negotiated rate data shows price drops for shoppable services in competitive markets, but massive non-compliance impedes market-wide cost reduction.
Hospital acquisitions are driving up healthcare costs. We analyze the valuation metrics and link hospital consolidation to increased inpatient negotiated rates.
An analysis of 2024 hospital mergers and acquisitions, detailing transaction values, the high rate of divestitures, and the direct link to hospital market concentration.
Negotiated rates determine your healthcare costs. Learn how the Transparency in Coverage Rule unveiled massive price gaps and how the No Surprises Act protects you from surprise billing.
We break down the No Surprises Act’s Independent Dispute Resolution (IDR) process, analyzing the critical timelines, the impact of rising fees, and the link to TiC data.
Our beginner’s guide decodes hospital price lists. Learn to find the in-network negotiated rate, understand CPT codes, and compare costs to save on medical care.
Investigative analysis of how price transparency rules place a compliance burden on rural hospitals and the systemic risks to patient access they face.
A forward-looking piece that examines the next phase of price transparency. We look at potential new regulations, legislative pushes, and what the future holds for this movement.
Despite new laws, out-of-network charges remain a complex problem. We explain why these costs still occur and what they mean for patients and the healthcare system.
Don’t get caught off guard by unexpected medical bills. Learn what surprise billing is, how it occurs, and how new laws are designed to protect you.
Fifth Circuit ruled that providers cannot sue to enforce No Surprises Act IDR awards, exposing an enforceability gap. Analysis shows air ambulance providers win 86% of disputes.
Separate fact from fiction. We debunk the top five common myths about hospital price transparency and explain what the new regulations actually mean for you.
Learn how price transparency is shifting the balance of power, giving patients the information they need to save money and take control of their healthcare journey.
The lack of healthcare price transparency is a systemic problem caused by proprietary negotiated rates, widespread compliance failures, and poor data usability in mandated disclosures.
Why is price transparency important in healthcare? Understand how clear pricing empowers patients, reduces costs, and drives better healthcare decisions.
All of the fines issued by Centers for Medicare & Medicaid Services (CMS) to hospitals for non-compliance with hospital rice transparency in accordance with Section 2718 of the PHS Act, titled “Bringing Down the Cost of Health Care…
Analysis of the push for mandating public access to all payer rates. We compare current fragmented transparency data with comprehensive All-Payer Claims Databases (APCDs) and their potential for rigorous policy research.
We explore the arguments from physicians and provider groups who have been critical of price transparency mandates and what their concerns are for patients and the industry.
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