Healthcare Price Transparency

Insights to optimize negotiation, decision-making, and growth.

Mathematica empowers providers and payers with data-driven analysis to guide informed decisions in a rapidly evolving market.

Healthcare leaders today face the dual challenge of ensuring financial growth while navigating a landscape filled with massive, disorganized pricing data. Whether your focus is securing competitive reimbursement rates, optimizing value-based care payment opportunities, or expanding service lines, the stakes are high and your margin for error is slim. You need more than just organized data to make decisions that lead to results.

Data analysis acumen and health policy expertise: Our teams have decades of collective experience in healthcare markets, federal and state policy, and payer-provider negotiations to deliver transformative insights that can truly foster smart decision-making.

Access to a deep well of data: Get access to critical reimbursement rates from all national and many regional health plans, provider-specific Medicare rates, and, if desired, 100% access to Medicare and Medicaid claims.

Powerful tools and expert guidance: Custom professional services engagements as well as access to our price transparency database and a customizable dashboard offer you the tools necessary to answer your organization’s most pressing questions

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ORGANIZATIONS WE’VE SERVED
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Elevate Your Organization’s Strategic Decision-Making

Discover how our expertise and data-backed insights can empower decision-making and strengthen your negotiation strategy.

Connect with an Expert

A Robust Database, Customized Dashboard, and Unrivaled Expertise

To deliver actionable insights, you need access to the right data, customizable visualizations, and expert analysis. With Mathematica’s price transparency tools you get:

Trusted, Organized Data: With more than five decades of experience, Mathematica transforms massive, disorganized data into structured, reliable insights you can trust.
Comprehensive Access: Gain clarity from a vast array of data sources, including national and regional health plans, provider-specific Medicare rates, and Medicare and Medicaid claims data. Upload new plan files for on-demand ingestion.
Tools to Analyze the Value of Care: Analyze the value of care using reimbursement rates integrated with data on service volume, utilization, and provider performance.
Actionable Insights: With our custom dashboards, get a real-time understanding of pricing visualizations and quality of care in your market.
Expertise Across Markets and Policies: Rely on our deep understanding of healthcare markets and policy landscapes to navigate negotiations with confidence, backed by evidence and insights tailored to your organization’s goals.
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Client Perspectives

Mathematica’s expertise and access to complex data sets has given us a tool for our health system that supports our business operations and cost controls in a targeted way, enabling us to maintain our high quality of care.

- Al Swallow, CFO of MaineHealth

Dashboard at a Glance

See how our intuitive, comprehensive dashboards eliminate guesswork, empowering you to navigate the competitive healthcare landscape and make strategic choices that drive your organization’s success.

Dashboard at a Glance ---- intro block here: See how our intuitive, comprehensive dashboards eliminate guesswork, empowering you to navigate the competitive healthcare landscape and make strategic choices that drive your organization’s success.

Compare case-mix adjusted average relative rate of reimbursement among selected hospitals.

A bar chart compares case-mix adjusted average relative reimbursement rates for 5 selected hospitals

Combine hospital star ratings and relative rates of reimbursement to differentiate the value of care among selected hospitals.

A table view that includes hospital star ratings and relative reimbursement rates to differentiate the value of care among 5 selected hospitals.

Compare rates of reimbursement by service line among selected hospitals.

Schedule a demo of our dashboards. Learn how to get the price transparency insights you need to overcome data challenges and make informed decisions with confidence.

Frequently Asked Questions

 
 

Q: How can I be sure your data is reliable?

Q: Will I be able to draw conclusions that address my organization’s goals?

Q: What kind of ROI can I expect?

Related Staff

Rahul Kumar

Rahul Kumar

Senior Director

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Evelyn Li

Evelyn Li

Director, Advisory Services

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