Elion’s Post

We here at TALON appreciate being included on Elion's price transparency vendor category overview. But we would like to ensure that the various stakeholders within the healthcare industry are aware of what drives us. Although we have developed significant expertise curating and publishing high-quality price transparency for both payers and providers, our primary goal is not to become the system of record for negotiating contracts between payers and providers. TALON's mission is to create a market-driven healthcare system in the United States and supply innovative, consumer-centric tools that educate, empower, and incentivize patients to navigate to low-cost, high-quality, accessible healthcare providers. The real winners, in our eyes, will be patients benefiting from accurate, personalized pricing data throughout their healthcare journey. TALON is looking to lead the necessary paradigm shift to mitigate wasteful spending and drive competition between and amongst payers and providers for the benefit of the patient. #healthcare #healthcarecosts #pricetransparency #healthcareconsumerism #patients

The Center for Medicare and Medicaid Services (CMS), which enforces hospital pricing transparency and transparency in coverage mandates, has always intended for this data to be used by the most important stakeholders in the medical system: the patients. While hospital pricing transparency data structure has improved in readability with annual updates, transparency in coverage data - which mandates monthly updates on negotiated rates with all in-network and out-of-network entities covered by payers, is far less accessible. Aggregating all pricing data into one single platform and automating its ingestion while dynamically updating with publishing timelines would emerge a picture of the healthcare pricing market for any scale. Thereby allowing any stakeholder in the healthcare system: the patient, provider, payer, or care system to estimate the true costs of their intended decisions. To realize this vision, our focus has produced an atlas of pricing data from publicly available pricing data from sources, including hospital pricing transparency, transparency in coverage data, and both state and federal level pricing data. While numerous applications already exist for payers and care systems to take advantage of this data, which our atlas also allows - our interface, coupled with our team of physicians, is driven to develop applications of our atlas to enrich the interaction between patients and their providers. At its core, healthcare is the conversation between patients and those who care for them. Our intuitive tool allows both to engage with each other and optimize expected care costs - creating a new landscape for shared decision-making. With our active physician team, we are creating this clinical context for the atlas and are excited to share what we are working on soon. Stay connected with us at sumhealth.org. Thank you Elion for the feature! #Pricingtransparency #Transparencyincoverage #CMS #Patientsfirst

Are you struggling to make sense of the overwhelming volume and complexity of rates data? Our just-launched Negotiation Opportunity tool is the only solution in the market that can help you quickly and easily identify your current overall rate position to enable more effective negotiation workflows between payers and providers. Read more about this exciting new development here: https://ow.ly/MpPe50RhZOm

Are you overwhelmed by the volume of price transparency data out there? We’re excited to announce the addition of two new market-leading enhancements to our price transparency solution that cut through the noise of rates data to enable more effective negotiation workflows between payers and providers. Read the full details here:  https://lnkd.in/eW2Jda6e #pricetransparency #negotiations

Introducing price transparency data into contract negotiations can be a game-changer. Here's how it could shift the narrative: Informed Negotiation: With visibility into what competitors are being paid by insurance companies, you enter negotiations armed with valuable data. This allows you to benchmark your rates against industry standards and make more informed decisions about what you should be paid. Increased Leverage: Knowing the rates competitors are receiving gives you leverage in negotiations. If you find that your rates are significantly lower than those of your competitors for comparable services, you have a strong argument for demanding higher reimbursement rates. Evidence-based Advocacy: Price transparency data provides concrete evidence to support your position in negotiations. You can point to specific examples of what others in your industry are being paid, making it harder for payors to justify offering lower rates. Strategic Positioning: Armed with this information, you can strategically position yourself in negotiations. You may choose to emphasize the quality of your services or the unique value you bring to the table to justify higher rates. Negotiating Fairness: Transparency promotes fairness in negotiations. It helps ensure that all parties have access to the same information, reducing the likelihood of unfair practices or disparities in reimbursement rates. Overall, integrating price transparency data into contract negotiations can level the playing field, empower providers with valuable insights, and lead to more equitable agreements between payors and providers. Clarify's solution appears to offer a promising approach to achieving these benefits. #pricetransparency #contractnegotiation #healthcare #rates #clarify #contracts #data #analytics

Exciting news! Clarify is launching new capabilities to convert overwhelming price transparency data into strategic market and negotiation insights. Read below for full details of this real game changer.

Achieving better negotiations is within reach. But it starts by addressing the significant challenges we've faced. Remember how the pandemic turned our world upside down? 🌍 The long-running trend of low inflation was upended. Hospitals faced increased input costs, and providers saw revenues plummet as patient volumes dried up. Payers, too, felt the impact, losing leverage in negotiations and watching unit costs soar to unprecedented levels. Some payers felt like there was little to be done to hold back unit cost. However, price transparency data can be a powerful tool in this endeavor. One key takeaway: This data might not halt the rise in unit costs, but it often allows you to pinpoint where your competitors secure better or worse deals, and confirm with hard evidence what you might already suspect from industry discount studies or COB data. Ultimately, price transparency data empowers payers to negotiate competitive gaps away over time and set well-informed red lines. The winners will be the first to close the gaps. 🏆 P.S. Have questions about implementing price transparency strategies? Drop them in the comments or reach out directly!

Using The Power of Payer Data Effectively! But are you fully utilizing it to enhance negotiations? In today's healthcare sector, access to detailed payer data isn't just a regulatory requirement—it’s a strategic asset. Providers who effectively use this data can gain a competitive edge, improve their financial outcomes, and enhance patient care. Key Strategies for Providers: ▪ Analyze Market Trends: Use payer data to understand pricing trends and variations within your market, allowing for more informed negotiation strategies. ▪ Identify Cost Drivers: Pinpoint specific services or procedures where cost variations are significant. This insight can help focus negotiations on the most impactful areas. ▪ Benchmark Against Peers: Compare your rates with those of similar providers to identify opportunities for alignment or differentiation. Why Payer Data Matters: By leveraging payer data, providers can approach negotiations with a clear, data-backed strategy. This not only enhances financial stability but also supports the delivery of high-quality, cost-effective care. Practical Steps to Take: ▪ Implement Advanced Analytics: Invest in tools and technologies that enable deep analysis of payer data to uncover actionable insights. ▪ Train Negotiation Teams: Ensure your negotiation teams are equipped with the knowledge and skills to use data effectively in discussions with payers. Ready to harness the full potential of payer data for your organization? To understand how our solutions can support your organization and drive financial success, book a call with us: https://lnkd.in/dXst8CgH #healthcare #healthcarefinance #pricetransparency #contractnegotiation #healthcareanalytics #healthcaremanagement

We at Sage Growth Partners joined forces with Harris Williams to develop this independent research into the revenue cycle management market. What did the 115 C-suite executives reveal? 1 in 5 participants say their revenue cycle is worse today than it was in 2019, while fewer than half (43%) say it has improved, and only 3% consider their organization’s revenue cycle to be fully optimized.   So, what’s next? Market forces, such as continued mergers and acquisitions and advancements fueled by investments into AI, robotic process automation, and automated coding, are reshaping the RCM landscape — and executives tell us they are looking outside the EMR for next-gen revenue cycle management tools. Sam Brown Karen Morse Shannon Connolly

Quality reporting is becoming more and more common across multiple payers. Read the latest from Oracle's Seema Verma to learn how we can simplify quality reporting, making it easier for providers to participate in value-based programs. https://lnkd.in/ektpUDer