Jeff Gasser’s Post

Employer plan managers not embracing access to national/regional provider contracted rates are not only missing the boat, long term they are missing dry land. From a 25 year relationship with Deerhold’s executives and engineering teams, no other analytics firm has the depth of engineering expertise in big data platforms. Deerhold is an instant choice.

This week marks 25 months that Payer MRF data has been available for public consumption. These massive files can deliver actionable insights to providers, brokers, payers and analytics organizations that weren't available prior to July 1, 2022, but it requires substantial processing power and healthcare data expertise. The team at Deerhold provides this expertise and processing power to customers today to ensure they're getting to the value within Payer MRF data that can dramatically impact their organizations. Today's Transparency Tuesday discusses how access to Payer MRF data over the past 25 months is impacting the healthcare industry. https://lnkd.in/eNRycAb7 Are you unsure how Payer MRF data can impact your organization? Contact Pete Titas or Scott MacEwen to learn how your peers are using Payer MRF data today. #MRFInsights #TiCRule #Transparency #CRE

The Transparency in Coverage Rule made the contracted rates between Payers and Providers an open book. Access to this publicly available data is essential for many healthcare stakeholders, particularly independent provider groups. Ever wonder what that provider group across the street is getting reimbursed for the same procedures you provide from UnitedHealthcare?? If your group doesn't know this currently, today's Transparency Tuesday is for you! Please contact Pete Titas for a demo!! Deerhold Ltd. The Transparency in Coverage Rule made the contracted rates between Payers and Providers an open book. Access to this publicly available data is essential for many healthcare stakeholders, particularly independent provider groups. Ever wonder what that provider group across the street is getting reimbursed for the same procedures you provide from UnitedHealthcare?? If your group doesn't know this currently, today's Transparency Tuesday is for you! https://lnkd.in/e6xxn_6d

The bottom line is you have financial responsibility for a provider group? Your competitors have the ability to know your contracted rates for everything you do. That's the bad news. The good news is that you can know theirs to help you in your next negotiation. Deerhold Ltd. The Transparency in Coverage Rule made the contracted rates between Payers and Providers an open book. Access to this publicly available data is essential for many healthcare stakeholders, particularly independent provider groups. Ever wonder what that provider group across the street is getting reimbursed for the same procedures you provide from UnitedHealthcare?? If your group doesn't know this currently, today's Transparency Tuesday is for you! https://lnkd.in/e6xxn_6d

When the Transparency in Coverage Rule final rule was released in October 2020, the goal was to put healthcare information in the hands of consumers to ensure they are empowered with critical information needed to make informed healthcare decisions.  Getting this in the hands of consumers requires accurate Payer MRFs and a consumer shopping tool that employees/members can confidently navigate that includes all cost share/accumulator information for the consumer. Today's Transparency Tuesday provides a case study of how Monatana based TPA, Boulder Administrative Services, tapped Deerhold Ltd. TARA solution to overcome challenges in meeting TiC requirements and ultimately provide its customers with clear, transparent healthcare pricing information. https://lnkd.in/evkJcsQX Are your employees or clients struggling to easily navigate healthcare pricing within your current consumer shopping tool? Contact Pete Titas or Scott MacEwen for a demo of a simple, affordable solution through Deerhold Ltd. TARA consumer shopping tool. #PriceTransparency #MRFInsights

The Transparency in Coverage Rule made the contracted rates between Payers and Providers an open book. Access to this publicly available data is essential for many healthcare stakeholders, particularly independent provider groups. Ever wonder what that provider group across the street is getting reimbursed for the same procedures you provide from UnitedHealthcare?? If your group doesn't know this currently, today's Transparency Tuesday is for you! Please contact Pete Titas for a demo!! Deerhold Ltd. The Transparency in Coverage Rule made the contracted rates between Payers and Providers an open book. Access to this publicly available data is essential for many healthcare stakeholders, particularly independent provider groups. Ever wonder what that provider group across the street is getting reimbursed for the same procedures you provide from UnitedHealthcare?? If your group doesn't know this currently, today's Transparency Tuesday is for you! https://lnkd.in/e6xxn_6d

The Transparency in Coverage Rule made the contracted rates between Payers and Providers an open book. Access to this publicly available data is essential for many healthcare stakeholders, particularly independent provider groups. Ever wonder what that provider group across the street is getting reimbursed for the same procedures you provide from UnitedHealthcare?? If your group doesn't know this currently, today's Transparency Tuesday is for you! Please contact Pete Titas for a demo!! Deerhold Ltd. The Transparency in Coverage Rule made the contracted rates between Payers and Providers an open book. Access to this publicly available data is essential for many healthcare stakeholders, particularly independent provider groups. Ever wonder what that provider group across the street is getting reimbursed for the same procedures you provide from UnitedHealthcare?? If your group doesn't know this currently, today's Transparency Tuesday is for you! https://lnkd.in/e6xxn_6d

Still not compliant with the Transparency rules? We can get you compliant quickly.

A simple News search of 'health care provider negotiation' online will result in several articles about providers and health plans not being able to come to agreement on contract rates for healthcare services, with many providers stating that they're being reimbursed significantly below market rates. How often are provider groups pulling market data? What is the source of the data? Is it easily accessible? Today's Transparency Tuesday addresses the Payer MRF Insights, including current market rates, that can be at a provider group's fingertips TODAY! Deerhold's Contract Rate Explorer delivers MRF Insights in milliseconds, providing provider groups the data needed to assist in their negotiation process with health plans. Contact Pete Titas or Scott MacEwen for more information. https://lnkd.in/eUX2f2WK

Managing group health plans can be daunting for fiduciaries, encompassing both fund stewardship and strategic data utilization to enhance plan performance and participant satisfaction. Access to Payer MRF data can significantly empower fiduciaries in their decision-making processes. Today's Transparency Tuesday post explores the various ways Payer MRF data can assist those with fiduciary responsibility and those supporting the teams with fiduciary responsibility. https://lnkd.in/e3Gp9TK9 Deerhold Ltd. Contract Rate Explorer simplifies accessing this Payer MRF data and helps fiduciaries constantly monitor and optimize their provider networks, as seen in the image below. Our core business is ensuring customers get the greatest value possible from Payer MRF data. Contact Pete Titas or Scott MacEwen for a demo or instant access to Payer MRF data through our CRE product!