Solution - Market Reimbursement Intelligence - Rethemed
Maximize reimbursement rates with market-specific intelligence
Negotiate reimbursements confidently
With unprecedented transparency into reimbursement rates, Market Reimbursement Intelligence makes it easy to objectively compare rates and equips healthcare leaders to negotiate fair reimbursement with payors.
Analyze ROI potential and improve forecasting
Champion growth and acquisition targets with the highest potential of success. Market Reimbursement Intelligence leverages Payor Rate Transparency data and proprietary 835 All-Payor Claims Data (APCD) to analyze market rates by payor, provider, CPT code, and/or service line to deliver insights into your financial opportunity. This makes it easy to assess the revenue potential of entering new markets, forecast future revenue, and view market reimbursement rate trends over time to accurately gauge revenue growth potential.
Choose from multiple curated, market-specific datasets
Payor Rate Transparency
Through the federal Transparency in Coverage rule, enacted in 2022, health plans and health insurers are required to publish rates for the healthcare services they cover. Strata provides access to insurers’ published rates in our Payor Rate Transparency (PRT) datasets.
APCD 835 Remit
Market Reimbursement Intelligence also leverages Strata’s proprietary All-Payor Claims Data (APCD) to analyze market rates by payor, provider, CPT code, and/or service line to deliver insights into your financial opportunity.
Objective Market & Provider Comparisons
Curated and easily accessible state, market, and product line data help you better understand providers’ reimbursement trends and your risks and opportunities. Evaluate reimbursement rates at a granular level, including office visits, surgical procedures, and diagnostic and therapeutic services, as well as services at outpatient hospitals and ambulatory surgical centers.