Industry Insights
Healthcare price transparency industry insights 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.
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.
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.
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.
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.
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.
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.
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.
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.
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.