Strategic Insight For Building New Markets and Analyzing Existing Markets

RealRate™ Payers

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Smart Provider Target Lists

Existing Provider Contractual Rate Ranges

Utilization and Claim Volume Data

RealRate™ offers Transparency

You shouldn’t be limited by “local knowledge” and anecdotal provider rate estimates.

Make transparency data work for you with actual provider rates from competitor contracts nation-wide from The Viability Company’s RealRate™ platform.

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How it works

Where does the data come from?

Data is collected directly from all plans and updated proactively (including cash rates). The first data was released in July 2022 in response to CMS mandates and The Viability Company has unlocked this continually updated data to assist our clients in detailed market intelligence and strategies.

What does the data look like?

We provide full nationwide access to detailed rate metrics and next-gen analytics to establish market benchmarks that directly impact negotiations. It is payer network specific, down to exact provider-level detail. And we help you integrate real-time access to provider rate data into your network management processes through our RealRate™ portal.

How do we get started?

Give us your top market of interest, the key codes you want to analyze and the top competitors you would like to benchmark against, and we will provide a detailed market rate analysis to guide your reimbursement strategy. If this is a network build or expansion scenario, we can provide you with an accurate provider target list for more efficient provider recruiting and contracting.

If this is an established market, we can give you a heat map of re-contracting opportunities.