Price Transparency Solutions
Unlocking Actionable Insights from Claims Data and Payer Contracts
In today’s evolving healthcare landscape, price transparency is not just a compliance requirement—it’s a strategic advantage. Our Price Transparency Tool empowers hospitals and health systems to analyze claims data, contrast it with payer contracts, and gain actionable insights to optimize pricing strategies, enhance negotiations, and ensure regulatory compliance.
Endeavor Analytics’ inaugural tool empowers healthcare organizations with insights to evaluate their reimbursements relative to their peers.
Key comparison dimensions include:
- Payor
- Service Line
- Plan Type
- MS-DRG
- Claims Data
Why Price Transparency Matters
Healthcare organizations must navigate complex payer contracts while providing cost clarity to patients. Our solution enables you to:
Ensure Compliance – Meet CMS price transparency requirements, including the Hospital Price Transparency and No Surprises Act regulations.
Optimize Reimbursement Strategies – Compare actual claims data against contracted rates to identify gaps and opportunities for improvement.
Enhance Negotiations – Leverage data-driven insights to strengthen payer contract discussions.
Improve Revenue Cycle Management – Minimize disputes, detect underpayments, and streamline financial operations.
Empower Patients – Provide accurate cost estimates based on real claims data and payer agreements.
Key Features
Claims Data Ingestion & Analysis: Automatically import and analyze claims data to assess how reimbursement aligns with contracted rates.
Payer Contract Comparison: Contrast actual payments with negotiated payer contracts to detect discrepancies and opportunities for renegotiation.
Customizable Compliance Reporting: Generate machine-readable files (MRFs) and compliance reports that meet all CMS standards.
Competitive Benchmarking: Gain insights into how your pricing and reimbursement compare within your market to drive strategic pricing decisions.
Seamless Integration: Connect effortlessly with your EHR, billing, and revenue cycle management systems to automate pricing updates and payer comparisons.
Who Benefits from Our Solution?
Our Price Transparency Tool is designed for:
Hospitals & Health Systems – Gain visibility into reimbursement trends and payer contract performance.
Revenue Cycle Teams – Identify underpayments, negotiate better rates, and streamline financial workflows.
Payers & Health Plans – Enhance transparency with providers and members by aligning reimbursement data with contract terms.
Employers & Benefits Administrators – Support employees in understanding healthcare costs with clear, data-backed insights.
Why Choose Us?
With deep expertise in healthcare analytics, contract negotiations, and revenue cycle management, we provide a powerful tool that goes beyond compliance. Our solution enables healthcare organizations to make data-driven decisions that improve financial performance and patient engagement.
Get Started Today
Transform your approach to price transparency and payer contract analysis. Contact us to schedule a demo and see how our solution can optimize your revenue and pricing strategies.
Let’s Talk
We will help you overcome strategic challenges to realize the business value you seek.