A Healthcare pricing transparency competitive market analytic platform for business decisions

The (in)Sight Health™ MarketAdvisor platform leverages Guidehouse’s managed care expertise and advanced analytics to analyze price transparency data integrated with market-leading data resources. The solution offers a holistic view of how healthcare services are priced, contracted, and reimbursed across a competitive landscape, enabling organizations to make informed decisions with enhanced depth and clarity.

Organizations can analyze rates at the service code, service line, place of service, or hospital level by payer and compare with competitors to better understand how rate changes and other performance improvements can impact revenues. Combined with Guidehouse’s advisory services, organizations have leveraged this data to achieve strategic growth in key markets, reimbursement gains in payer negotiations, and service line pricing strategy improvements.

Why choose Guidehouse (in)Sight Health™ MarketAdvisor

Enter contract negotiations with authority and precision, highlighting areas for optimization in revenue cycle contracts
Negotiate smarter contracts with payers for strategic service rates - Clients have reported increases of up to 8% in contract negotiations
Leverage de-identified claims data to compare rates with competitors
Determine market positioning and benchmarking
Inform business and network development strategies

Features:

MRF and national data updated monthly
Service line level analysis
National Provider Identifier search with info display
Intuitive interface with visuals to facilitate the interpretation of insights
Dashboards for ease of use

Case Study:

Large Hospital in the Northeast Uses Market Intelligence Solution to Improve Revenue Cycle Management

Challenge: A large hospital in the Northeast was facing challenges in negotiating revenue cycle contracts with Payer X. The hospital lacked visibility into market trends and was unable to identify areas for optimization in its revenue cycle contracts. Additionally, the hospital wanted to inform its business growth strategies, including potential business acquisitions and market entry points.

Solution: The hospital utilized the Guidehouse (in)Sight Health™ Market Advisor solution to address their financial challenges with their Payer.

Value: By using the solution, the hospital was able to negotiate smarter contracts with payers for strategic service rates, leading to improved revenue cycle management and increased revenue. It also helps inform markets that are prime for entry.

Advantages: The solution's monthly data updates, visuals that facilitated interpretation of insights, and intuitive interface allowed the hospital to make informed decisions and improve its market position. The hospital was also able to inform its business and network development strategies, including potential business acquisitions.dd estimated annual revenue to our alliance/partner for deal registration. Contact us: alliances@guidehouse.com.

Data sources

Sources include data published by health systems across the country, the government, and other publicly available repositories, including data from the Centers for Medicaid & Medicare Services, the Census Bureau, publicly available price transparency data, published clinical outcomes, brand rankings from the US News and World Report, and data from countyrankings.org.

Guidehouse (in)Sight Health™ Market AdvisorGuidehouse

Guidehouse (in)Sight Health™ Market Advisor

Guidehouse

Guidehouse (in)Sight Health™ Market Advisor

Guidehouse

Guidehouse (in)Sight Health™ Market Advisor
Guidehouse