Webinar
To increase transparency and empower decision-making, health plans must now disclose network negotiated prices for medical services in Machine Readable Files (MRFs). Big limitations include the size and complexity of files, and that they do not contain any indication of volume. Denniston Data (DDI) combines claims data with MRFs to reduce noise, allowing actionable insights for measuring relative price, volume & quality. This can be used in negotiations, for Referenced Based Pricing (RBP), or member navigation, driving utilization to the best providers at the best prices to optimize outcomes and cost. Join us as we reveal examples and implications leveraging DDI’s proprietary platforms, Provider Ranking System (PRS) and Healthcare Pricing Guide (HPG). Don’t miss the Webinar!
In effort to increase healthcare transparency and empower consumers to make informed decisions, the Transparency in Coverage (TiC) rule was finalized in 2020 by the Depts of Health & Human Services, Labor, and the Treasury, requiring health plans to disclose negotiated prices for medical services, releasing Machine Readable Files (MRFs) for payments by procedure and provider beginning 7/1/22.
