Serif Health

CTO Matthew Robben returns to the Serif Health blog this week with another edition of MRF Processing Notes, explaining the ways some health plans make price transparency data access a challenge. If you're struggling with MRF data access and aggregation at scale, our team is happy to help.

This week on the Serif Health Blog, we have an exciting follow-up post from founding engineer Derek Pedersen on the MRF ingestion process. In March, Derek shared how our monthly ingestion engine works to capture the monthly MRF data from hundreds of health plans and keep our Table of Contents up to date. In Part 2 of his series this month, he jumps into what we do next with those files. Read on for a technical deep dive into how Serif Health takes new monthly Table of Contents file from a payer and uses it to define a network and extract the reimbursement data from the relevant associated files! https://lnkd.in/gyY6zR9k #pricetransparency #engineering #dataoperations

New Blog Post Alert! Our lead front-end engineer, Kevin Dutton, is on the blog today sharing how Serif Health customers from hospitals to ASCs and physician groups are using our price transparency platform Signal to build customized Peer Benchmark Reports - all with Serif's signature simple and beautiful user experience. Learn more about how we are working with customers track and analyze the network contracts and reimbursement rates of peers and competitor organizations over time to supercharge their contracting strategies with health plans: https://lnkd.in/gBdpTTAE If you're interesting in using our Peer Benchmark Reporting and developing a Moneyball style strategy for your healthcare organization, please schedule some time with the Serif Health team here - https://lnkd.in/gKVG2E9N

Today, we are exploring a question about the price transparency data that so many of our customers are very interested in. How are value-based payments or non-fee-for-service arrangements for providers represented in the price transparency MRF data? While the large majority of commercial reimbursements are fee-for-service, Anav Sharma shares how several other contracting arrangements from bundled payments to case rates and capitation are all represented in the MRF data and can be analyzed by the Serif Health team. With so much potential for value-based care to grow in the commercial insurance space and more regulatory updates for payer data requirements on the horizon, we anticipate more and more of these arrangements to emerge in the price transparency data moving forward. Read on here: https://lnkd.in/gFAncVXN And feel free to reach out to the Serif Health team to learn more or schedule a demo: https://lnkd.in/gqZr-3Uf

At Serif Health, we strive to understand all the nuances of the published healthcare price transparency and share that expertise with our customers. On the blog today, our lead data engineer Salman Mukhi takes a deep dive into one of the specific mandated data fields in the price transparency schema - "negotiated type" - and shows how the use of this data field and compliance among health plans can differ quite widely. So how useful is the "negotiated type" data field if you are analyzing the price transparency data? Read on here: https://lnkd.in/g9pEUxwG And as always, if you are interested in using the price transparency data, please reach out to the Serif Health team to learn more: https://lnkd.in/gKVG2E9N

If you are a healthcare operator looking to inform your market growth and reimbursement strategy, Anav Sharma took over the blog today to share how Serif Health customers like ASCs, hospitals, physician groups, and consultants can utilize price transparency data in Serif Health's Signal platform to build custom Market Benchmark Reports. Read on to learn more on how we help our customers analyze and evaluate markets to expand to, plans to go in-network with, and total market opportunity: https://lnkd.in/gF3Bf_5J And if you're interesting in using our Market Benchmark Reporting, schedule some time with the Serif Health team here! https://lnkd.in/gKVG2E9N

Our CEO Rafiq Ahmed is on the blog today sharing some of our latest work using price transparency data to drive savings for self-insured employers. As self-funded employers increasingly focus on their role as fiduciaries for their employees' healthcare, Serif Health has worked closely with these employers, as well as TPAs and health plans that serve them, to find significant savings opportunities. Serif Health's price transparency-powered analytics have enabled customers to identify reimbursement discrepancies, build preferred provider networks, and refer patients to lower cost, high quality care on a regular basis. Read on and reach out to learn more: https://lnkd.in/gXhwrhWE

Come listen to our co-founder and CTO Matthew Robben discuss price transparency data quality, the state of regulation, and exciting new ways healthcare organizations and employers are using price transparency data at the Healthcare Transparency and No Surprises Act Summit next week! Excited to share our latest insights with the broader healthcare community - with an amazing group of business leaders, technologists, and regulators. Sign up for the virtual event here: https://lnkd.in/erDmWric

Excited to highlight the latest healthcare research from our friends at Capstone - With access to Serif's price transparency data, Hunter Hammond and team were able to compare air ambulance NSA data with the payer-reported rates in the machine readable files to investigate rate settlements in the NSA arbitration process between air ambulance providers and payers. Read on to see the report! And if you are an organization looking to use price transparency data for healthcare policy and pricing research, please reach out: https://lnkd.in/gGu4iiqu

CTO Matthew Robben is back on the blog today with another round of MRF Processing Notes discussing some the key gaps in March's price transparency updates. Gaps in the machine readable file data can be a challenge for extracting useful insights. However, the Serif Health team has been dedicated to using our analytics and research capabilities on a full historical library dating back to January 2023 that we've used to help our customers fill in these exact gaps. Read on for more: https://lnkd.in/gk-kgK-W