With Price Map, you can unlock healthcare pricing transparency for Medicare hospitals by using aggregated CMS data to benchmark your plan’s Medicare reimbursement rate to the facility’s actual amount.
Use the map’s colored pins to see drilled-down details on specific facility, provider, and inpatient/outpatient claim reimbursement. This data can help you identify opportunities to effectively incorporate alternative plan models such as Reference Based Pricing or Provider Direct Contracting.
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Data disclaimer: CMS’s release schedule of this information is approximately two years in
arrears; i.e., the Price Map titled 2017 CMS Release represents data from 2015 but
was posted publicly on CMS.gov in May 2017.