Data Products
Pricing healthcare services is challenging… and the ability to access objective, independent data as a foundation for sound decision-making can be the key to success. Armed with the right data, organizations and professionals in the healthcare community can more effectively manage risk, negotiate fees and develop pricing models that are competitive and sustainable.
As the industry standard in transparent healthcare charge data, FAIR Health helps connect the dots between payors, providers, employers and consumers. By enabling multiple stakeholders to rely on the same objective data to make decisions, FAIR Health helps to minimize factual disputes and focus negotiations on business issues, which in turn, promotes efficiency, cost savings and better business relationships. FAIR Health provides transparent, current and reliable information that allows users to focus on core business objectives.
Organizations and professionals are using FAIR Health data to meet a range of goals:
- Health plans use the data to inform their determination of usual, reasonable and customary (UCR) schedules for out-of-network care
- Bill review companies use the data to help evaluate and process client claims
- Employers use the data to apprise employees about healthcare costs associated with out-of-network care and to educate those who participate in high deductible plans
- Self-insured employers and insurance carriers use the data to manage reimbursement risk under a variety of reimbursement models (e.g., ACO, bundled payments, medical homes, etc.)
- Networks use the data to inform their negotiations with providers
- Providers and healthcare systems use the data to evaluate fee schedules and compensation arrangements offered by payors
- Insurance carriers, TPAs and employers integrate the data into tools that enable plan members to compare in-network and out-of-network costs
- Unions and associations use the data to provide healthcare cost information to their members
- Academics and policymakers use the data to inform research initiatives
- Governmental agencies use the data as a key resource to power all payor databases (APDs) and medical reimbursement data centers (MRDCs), and to establish benchmark fees for UCR-related schedules
To serve these diverse needs, FAIR Health makes benchmark charges available in a variety of formats:
ESTIMATE YOUR HEALTHCARE COSTS
Our companion website can help you navigate the world of out-of-network reimbursement.
