Healthcare Pricing Analytics [SAMPLE]

HEALTHCARE'S COMPETITIVE INSIGHTS IMPERATIVE
In today's fast-changing competitive healthcare landscape, it's more important than ever to have access to competitive pricing information. Amitech's healthcare pricing analytics services leverage publicly available hospital and payer pricing data to help all stakeholders in healthcare collaboratively drive down the cost of care. Payers, providers, employers, brokers, and consultants can all gain critical insights into market-specific prices and benchmarks using this data.

At Amitech, we understand that publicly available hospital and payer pricing data isn't perfect, but it does provide many useful insights. such as: Where is each provider in a geographic market positioned with inpatient acute service rates for each of the top three payers? How consistent is a provider's rate position across all billing codes in a particular service line—are there exceedingly high or low rates for specific services? How do provider-posted and payer-posted rates compare for the same services with the same payer with the same provider? And with our healthcare expertise and snowflake technology, we can help you answer questions like these and provide actionable insights that will drive down the cost of care and improve outcomes for everyone.

PRICING ANALYTICS DELIVERABLES
The Amitech pricing analytics data set allows you to access raw data negotiated rate data from hospitals and providers and compiled market position metrics across multiple patient segments, geographic markets, and lines of services.

Tables included:
- Negotiated Rates
- Services Definitions
- Provider Groupings
- All Rates (a denormalized view of negotiated rate data)
- Metrics (compiled metrics at the patient segment, market, and line of service)

Fields Included:
- Payer
- Payer Source
- Provider Name
- Provider NPI
- NPI Entity Type Code
- Provider Taxonomy
- Provider Specialty Classification
- Negotiated Arrangement
- Billing Code Type
- Billing Code
- Billing Code Description
- Billing Code Modifier
- Place of Service
- Billing Class
- Negotiated Type
- Negotiated Rate
- Geographic Market
- Patient Segment
- Service Line
- Overall Weighted Percent of Average Rate

SAMPLES DATA:
Included is a sample of transparency data and compiled analytic tables from Anthem in Georgia. Contact Amitech for the full offering scope.

DATA SOURCES:
This data is sourced from individual hospital price transparency websites and individual payer price transparency websites (machine-readable files) as required by CMS. Weightings are calculated from claims volume provided by customers or through a separate third-party data source.

搜集汇总

背景与挑战

背景概述

该数据集提供医疗定价分析服务，整合公开的医院和支付方定价数据，包含协商费率、服务定义等多类信息，帮助利益相关者分析市场价格和基准。数据来源于医院和支付方的价格透明度网站及CMS要求的文件，并附有乔治亚州Anthem的样本数据。