Price Transparency Analytics
Milliman Price Transparency Solutions for Payers and Providers
Demystify payer and provider contract pricing data for better transparency across the industry.
Hospital and health plan contract pricing data is available for the first time ever—but it is unwieldy and incomplete
Recent regulations require hospitals and health insurance payers to post contracted prices for medical services publicly online. However, the lack of consistency and accuracy makes this data difficult to consume and collate. Consumers need data that is comparable, accurate, easy to understand, and trustworthy to maximize transparency and choice. Payers and providers need fair price comparisons to use them during contract negotiations.
Powerful analytics applied to unified data improves transparency, clarity, and insights
Milliman Transparent unifies disparate data from thousands of hospitals and payers, using our vast claims and contracting experience to improve data quality and usability. More than just a data warehouse, our solution incorporates proprietary utilization profiles and standardized pricing to create case-mix-weighted percent of Medicare relativities that enable fair contract comparisons. Intuitive online tools simplify access, and an API is available for extracting data on demand.
Milliman Transparent features
Simplified access
For the first time ever, coveted payer and provider contract pricing data is made easily accessible and understandable.
Decision-ready data
Publicly available machine-readable pricing content is transformed into a unified, normalized, comparable data foundation.
Transparent data quality
Milliman healthcare industry experts and data scientists work together to flag data quality, trustworthiness, and sufficiency, so users can make informed choices about how to use the information.
Holistic view
In order to compare the disparate payer and provider contract information, Milliman has created utilization profiles by line of business and provider type. We combine the utilization profiles with our actuarial standardized price (GlobalRVUs) so that users can compare contracts with different contract structures and service codes.
Comparability
Actuarially sound percent of Medicare relativities for each contract and service type can also be viewed across markets and geographies.
Powerful tools
Get data on demand using a web interface or consume it using an API.
Milliman Transparent benefits
Access competitive intelligence
Gain a deeper understanding of existing contractual agreements.
Improve contract negotiations
Harness data to gain leverage in payer and provider contracting efforts.
Perform comparative analysis
Understand your hot and cold spots, pricing anomalies, and network strength across payers and providers.
Inform patient decisions
Support greater price transparency in healthcare and enable more engagement and choice for healthcare consumers.
Enhance transparency across the healthcare ecosystem
Improve the market efficiency of contracting by enabling fair comparisons among providers and payers.