Mathematica PricePrism is a comprehensive suite of price intelligence tools, analysis, and data intelligence services designed for professionals and organizations in the healthcare sector, including providers, physician practices, medical associations, colleges, and societies. The platform helps clients leverage the massive, often disorganized, price data disclosed under federal Transparency in Coverage mandates to unlock competitive advantages and identify strategic growth opportunities.
PricePrism combines Mathematica's decades of healthcare research and policy expertise with cutting-edge analytical capabilities to surface strategic insights. It is structured around three integrated service components:
- Market Intelligence Tools: Offers sophisticated data visualization and analyses through a customizable dashboard, enabling users to identify untapped market opportunities, benchmark payer prices against regional or national standards, and explore potential service line expansions.
- Expanded Data Access: Provides comprehensive access to a deep well of data, including critical reimbursement rates from national and regional health plans, provider-specific Medicare rates, and Medicare and Medicaid claims data. Users can also upload new plan files for on-demand ingestion.
- Data Insights: Includes hands-on guidance and custom professional services engagements from Mathematica's data analytics and policy experts to develop and implement data-driven growth strategies.
The overall goal of PricePrism is to help healthcare organizations maximize their negotiating power with payers, leading to more competitive rates, improved financial outcomes, and strengthened market position. It helps clients analyze the value of care by integrating reimbursement rates with data on service volume, utilization, and provider performance.
