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Payer Reports: Exploring Healthcare Data Packages

Written by Emily Elmore | Mar 2, 2024 5:57:37 PM

With HexIQ you can download healthcare data packages for every negotiated rate, for every provider, in every setting, for every payer. To check out how this works, you can download sample snapshot reports, or book a demo to see it in action.

The HexIQ Platform

Now that the Transparency in Coverage Rule has gone into effect, you can use the HexIQ Platform to empower your practice in contract negotiations with payers by referencing specific reimbursement rate data. Not only that, you can monitor changes to your benchmarked ranking for negotiated rates in real time. These reports enable you to determine which plans you should consider participating in by comparing rates for your top billing codes.

Custom Data Products

A monthly subscription for a single code is just $25 per code per month. Alternatively, you can access a predefined group of top codes for your specialty for $2,500 per year per state. Unlimited reports have up-to-date negotiated rates for you practices, providers, payers, and codes of interest. You can find similar providers and practices by payer mix, specialty, and location, and browse an interactive map of provider hotspots. 

Market Analysis

You can combine Transparency in Coverage negotiated rate data with the power of demographic, ethnographic, social listening, or first-party data to identify industry trends, top performers in the market, and socioeconomic insights that can be used to inform decisions around market entry, investment, and business climate.

If You have a custom data need, our data science team is here to help! Whether you’re looking for reimbursement volumes, rates, or social characteristics of medical communities, we’ve got you covered.

Need inspiration?

Here are some examples of custom reports we can create for your specific use cases:

  • Cost of Comparison reports between competitive health plans
  • Comparison of private payer and Medicare/Medicaid reimbursement for specific reimbursement codes 
  • Out-of-Network reimbursement rates by health plan

Ready to see what we can do for you?

Schedule A Demo

Discover the transformative potential of HexIQ platform for your practice.

Schedule Now