Information Guides
Expert insights on healthcare pricing and contracting
Practical, actionable guides to help you navigate healthcare price transparency, optimize payer contracts, and make data-driven decisions.
Blue Cross Blue Shield Price Transparency: It Depends Which BCBS You Mean
Blue Cross Blue Shield isn't one company - it's 34 independent licensees, each with its own price transparency compliance score. See real data on 12.
Reasonable Value of Medical Bills in Personal Injury Cases: The Public Data Alternative to Discovery
The reasonable value of medical bills in personal injury cases can now often be shown from public data - no discovery motion required for negotiated rates.
How to Set a Defensible Reference-Based Pricing Benchmark
Set a defensible reference-based pricing benchmark from real hospital price transparency data, not a flat Medicare percentage, and audit TPA savings claims.
Medical Bill Review Best Practices
Guide to reviewing medical bills in workers comp and personal injury cases: identifying billing errors and using price transparency data for fee challenges.
Payer Contract Negotiation: A Data-Driven Approach
Master payer contract negotiation using price transparency data, competitive benchmarking, and proven strategies to maximize reimbursement rates.
Understanding Healthcare Price Transparency
Navigate the complex world of healthcare price transparency regulations, from CMS rules to accessing and interpreting transparency data files.
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