Revolutionizing Healthcare Negotiations

The Synergy Between Tribunus Health and PayerPrice

In the complex landscape of healthcare negotiations, the synergy between Tribunus Health and PayerPrice has emerged as a game-changer.

The Challenge

1. Data Overload and Complexity: The requirement for payers to comply with price transparency led to a flood of data from insurance companies. This created a new problem: an overwhelming volume of complex, raw data that was difficult to navigate and understand.
2. Lack of Specialized Resources and Expertise: Healthcare providers do not have the resources or training needed to access and interpret this vast amount of data, leaving them at a disadvantage when it comes to understanding their market position and negotiating fair reimbursement rates.
3. Limited Industry Knowledge: Data scientists, on the other hand – lacking experience with managed care contract terms and payment methodologies – struggle to sort and interpret what may appear to be conflicting data. Without national scale and hundreds of reps, the interpretation of the data – even once organized – will not result in high confidence.
4. Insight without Action: Knowledge does not equal power alone. Even if a provider group obtains perfect insight into its relative pay rates, it still needs to create a winning negotiation strategy and carry it out. Done correctly, the time-intensive negotiation will factor in much more than Price Transparency Data.
5. Diversion from Core Healthcare Mission: The demand for providers to and make sense of this complex pricing data threatens to distract them from delivering quality patient care. There’s a critical need to help them deal with the administrative burden so they can focus on health and patient outcomes.