Insights
Healthcare price transparency insights, analysis, & updates from the Payerset team.
A Practical Look at Reimbursement Benchmarking with Price Transparency Data
Part two of our series on benchmarking with price transparency data. A real-world example of how single-code comparisons can mislead, and what a comprehensive approach actually looks like.
How to Analyze Price Transparency Data for Reimbursement Benchmarking
A framework for using price transparency data to benchmark reimbursement between hospitals, built from hundreds of customer interactions with managed care professionals.
Transparency in Coverage (TiC) Schema 2.0 Is Live - Updates
February 2nd, 2026 marked the first enforcement deadline for TiC Schema 2.0. Here's what we're seeing on the ground with payer compliance and the new data fields.
CMS Proposes Major Updates to Transparency in Coverage (TiC) Rules
CMS is proposing significant updates to TiC requirements including network-based file structures, annual utilization files, quarterly reporting, and enhanced out-of-network data.
Key Updates in Price Transparency: Transparency in Coverage (TiC) Schema 2.0
A comprehensive breakdown of CMS's Transparency in Coverage Schema 2.0, including key improvements to provider group data, plan identification fields, service setting enhancements, and what fell short.
Managed Care Contract Negotiations & Price Transparency in 2025: Lessons from the Front Line
Key insights from hospital managed care leaders on tightening margins, evolving denial behavior, shifting employer dynamics, and how organizations are building proactive defenses.
A CFO Blueprint: What to Look for in Healthcare Price Transparency Solutions
A guide for hospital CFOs and managed care leaders on evaluating healthcare price transparency solutions, covering data accuracy, usability, flexibility, and partnership qualities.
Why Complete Healthcare Price Transparency is Essential - And What It Takes to Get It Right
Comprehensive healthcare price transparency data has become essential for fair negotiations, strategic planning, and financial forecasts. Here's why completeness matters and how to get it right.
The Positive Future of Price Transparency in the U.S. in 2025
Analyzing the 2025 executive order on healthcare price transparency, the challenges that must still be addressed, and the path forward for making transparency real and accessible.
Making Sense of Hospital Price Transparency Data: 2025 Updates & Solutions
A breakdown of the current state of hospital machine-readable files (MRFs), the latest 2024-2025 regulatory updates, ongoing challenges, and how Payerset simplifies hospital price transparency data analysis.
How Payerset Simplifies Healthcare Plan Complexity in Reporting
Learn how Payerset eliminates the burden of pre-selecting reporting plans, providing users with a more intuitive, comprehensive, and insightful healthcare price transparency experience.
Payerset and PurpleLab Partner to Deliver Trusted Price & Coverage Intelligence, Transforming Healthcare Decision-Making
Payerset and PurpleLab announce a strategic partnership to launch a trusted price intelligence solution suite, setting a new standard in healthcare intelligence.
Unlocking the Power of Historical Price Transparency Data
Introducing Payerset's Date Snapshot feature for historical rate analysis, enabling users to track pricing trends, benchmark against industry standards, and strengthen contract negotiations.
Reflecting on 2024 and What's Next for Payerset
A look back at Payerset's accomplishments in 2024 and a preview of what's ahead for 2025, including platform redesigns, historical rate tracking, and the evolution toward complete pricing intelligence.
Exploring Price Transparency, Accountability, and Innovation in Healthcare with Andrew Gordon
A recap of our Payercast episode with Andrew Gordon, a health economics researcher, discussing healthcare price transparency barriers, accountability, and the future of healthcare pricing.
Reflections from the Georgia HIMSS Conference: Driving Digital Transformation in Healthcare
Key takeaways from the Georgia HIMSS conference covering digital transformation, change management, crisis response lessons from Hurricane Helene, and the balance between regulatory compliance and innovation.
Payercast S01 E03 - Price Transparency Use Cases, HFMA 2024, Late Adopters or Sitting Ducks?
Exploring key price transparency use cases including rate benchmarking, market expansion, and underpayment analysis, plus a case study of UofL Health's success at HFMA 2024.
Contract Negotiation Powered by Price Transparency Data: A Success Story from UofL Health
How UofL Health leveraged payer price transparency data to achieve a 33% increase in reimbursement for spine fusion procedures and transform their contract negotiation strategy.
Payercast S01 E02 - Recapping The 2024 National Healthcare Price Transparency Conference
The Payerset team recaps the 2024 National Healthcare Price Transparency Conference, covering key discussions on data transparency, employer accountability, and healthcare cost management.
National Healthcare Price Transparency Conference Recap
Key insights from the National Healthcare Price Transparency Conference featuring Cynthia Fisher, Mark Cuban, and the RAND 5.0 study on healthcare pricing and employer strategies.
Payercast S01 E01 - Reviewing Price Transparency Rules and Exploring a Machine Readable File (MRF)
In Payerset's debut Payercast episode, we explore healthcare price transparency mandates, the structure of machine-readable files, and practical applications for using this data effectively.
Price Transparency Q1 2024 Update: Strides Forward and the Road Ahead
Enhanced data quality, compliance, and innovative use cases for Price Transparency as Q1 2024 comes to a close.
Navigating the Landscape of Oncology Diagnostic Pricing in the U.S. Northeast
An insightful study using Payerset data to shed light on price variation for oncology diagnostics in the Northeastern U.S., empowering providers with transparency data.
Locations for Health Plan Transparency in Coverage Machine Readable Files Now Publicly Documented
Payerset is now publicly documenting the location of all health plan Machine Readable Files (MRFs) to enhance transparency compliance and serve as a valuable public resource.
Uncovering the Future of Price Transparency: A 2023 Recap and 2024 Outlook
A reflection on key price transparency milestones achieved in 2023, including improved payer compliance, data accuracy breakthroughs, and the outlook for practical data application in 2024.
Peeling Back the Layers of Health Plan Price Transparency: A Journey Towards Democratized Data
Insights into the hidden complexities of healthcare price transparency data, from messy contract structures and rate stuffing to the path toward democratizing this critical information.
November 2023: A Landmark Month in Health Plan Price Transparency
A look at the unprecedented growth in price transparency data during November 2023, including Elevance achieving zero corrupted files and United adding 200 billion rows of data.
A Turning Tide: How Major Payers are Stepping Up Their Data Game
A look at how major payers like Aetna, United, and Elevance are improving their price transparency data quality and accessibility.
Price Transparency Data: A Game-Changer for Health-Tech
How price transparency data is revolutionizing health-tech by empowering consumers to negotiate fair hospital bills and driving innovation across healthcare.
From Data to Decisions: Payerset's Path in Demystifying Price Transparency
An overview of the diverse use cases emerging for price transparency data across hospital systems, benefits navigation companies, payers, and specialty clinics.
The Parse Oscar Goes To...
A lighthearted look at the most challenging payer price transparency files to parse, awarding 'Parse Oscars' to Elevance, Aetna, and Humana for their creative approaches to data publishing.
And Then There Was Humana...
An exploration of the unique challenges Humana presents for healthcare price transparency data access, from nearly 12 million individual files to API rate limiting and processing hurdles.
Payerset and Snowflake: Powering Data Transparency in Healthcare
Announcing Payerset's listing on the Snowflake marketplace, making payer price datasets more accessible and fostering improved decision-making in healthcare.
Aetna's Price Transparency & Thwarting Web Scraping to Keep Data Under Wraps
Exploring the various techniques Aetna employs to block web scraping technologies, hindering data accessibility for consumers and other stakeholders.
Anthem Blue Cross Blue Shield's Data Obfuscation: The 180GB Table of Contents
How Anthem BCBS made their price transparency table of contents over 180GB uncompressed and the techniques they employed to replicate data, creating barriers to accessibility.
Navigating the Maze: How Insurance Companies Found Loopholes in Data Transparency Laws
Exploring how some insurance companies technically comply with price transparency laws while making data virtually inaccessible, and what can be done to encourage meaningful transparency.
The Power of Data Transparency: Unlocking Benefits for Consumers, Health Systems, and Insurance Companies
Exploring how data transparency laws benefit consumers, health systems, and insurance companies by empowering informed decisions, fostering competition, and promoting accountability.