Price Transparency
​Federal Price Transparency Rule
Following the implementation of the Federal Price Transparency Rule on July 1, 2022, most group health plans and issuers of group or individual health insurance must disclose pricing information of negotiated rates for healthcare services between insurers and providers in a machine-readable format. Revelar simplifies this by providing health plan negotiated pricing between payers and care delivery organizations in an easy-to-understand, human-readable format.
Commercial In-Network Pricing Revealed
Providing a new level of comparison and transparency actionable through the Revelar Analytics tool, healthcare organizations now can analyze and differentiate negotiated commercial pricing structures among competitors.
Who benefits from this data?
Investors
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Fair market value assessments during merger and acquisition negotiations
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Evaluate new market opportunities
Health Plans
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Benchmark fair market value compensation for plan design
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Optimize network management
Employers
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Guidance on plan selection and cost containment for plan administrators
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Identify benchmarks for direct contracting and self-funded employer
Providers
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Guidance to help with payer negotiations for payer relations teams
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Benchmark fair market value compensation for improved market positioning
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Develop preferred provider networks for value-based care arrangements
Our Solution & Services
At Revelar, we understand that human-readable data is the cornerstone of informed decision-making in healthcare. Our team of dedicated data analysts leverages cutting-edge technology to provide our clients with unparalleled price transparency. With access to the latest data and insights, we empower our clients to make better decisions and gain a competitive edge.
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Turnaround times less than one week using the latest MRF files
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Data enhancements allowing to filter out noise and irrelevant data
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Stop looking for the needle in the haystack- our solution is designed to quickly identify the relevant files
01.
Data Delivery
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​Tailor the data to your specifications and receive it either directly via SFTP or data warehouse.
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Bulk data delivery via Amazon Web Services in any state for any payer.
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Tailored to align with your specific use case and budget. Choose a portion of the MRF dataset, with the flexibility to set the frequency. Apply data filters based on TIN, NPI, or procedure code.
02.
Actionable Dashboards
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Utilize our self-service dashboard to visualize reimbursement rates by CPT, HCPCS, or DRG in any state for any payer.
03.
Consulting Services
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The raw price transparency data can be a lot to unpack. Our team of industry experts are ready to help you analyze the data and put together a comprehensive strategy.
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Our team of experts is also available to assist your organization with contract negotiation strategy and discussions.
04.
Reseller Agreements
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Designed for data analytics, developers, or other industry experts looking to leverage price transparency data, eliminating the need for raw data file processing.