Unlocking the Power of Price Transparency in Healthcare

Unlocking the Power of Price Transparency in Healthcare

How Federal Rules and Mathematica's Data Can Transform Advocacy, Negotiations, and Pricing Strategies for Medical Societies and Physician Practices
Published: May 20, 2025
Publisher: Mathematica

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Mathematica

Unlocking the Power of Price Transparency in Healthcare
Federal rules require group health plans and insurers to disclose the rates they pay providers in markets across the country. Mathematica now houses this price transparency data from more than 1.1 million health plans. Price transparency data can help medical societies, associations, and colleges better educate and advocate on behalf of their physician members. These data can also help physician practices improve their negotiations with insurers and price competitiveness for patients. Drawing insights from price transparency data is a challenge for these types of organizations and their members, who generally lack the staff and expertise to analyze and extract meaningful data from large volumes of complex raw data files. Working with a data solutions partner can help medical societies, associations, and colleges maximize the benefits price transparency data can deliver for them.

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