March 2023 price transparency progress report

Browse the visualizations below to discover the current state of payer transparency data. Note: we cut this data at the end of January, 2023. We will refresh the source data with February, 2023 in the coming days as our reporting typically refreshes on a 30-day cycle.

Since July of 2022, the contents of the payer-disclosed price transparency data have remained murky to third parties. In an effort to shine a light on how far payer data has come since last summer, we'll be publishing a series of reports that allow you to get a snapshot of the payer data around the country.

Our goal is for this data to serve as a starting point for discussion, quality assurance and further iteration. Our intended audience for these reports is government, industry, press and academia - we have many more user-friendly efforts planned separately for consumers on our public website throughout the year.

Let's have a look at how many payers have disclosed transparency data since July. Turquoise checks the website of every known payer & network on a monthly basis. Here is a census of how many payers we've discovered and ingested data for since the summer (note - self insured employers typically roll up to TPAs, carriers or networks, and so we could not individually count an employer as a "payer").

Upward trend in payers disclosing transparency data by month.

<a href='#'><img alt='Payers by Month Dashboard ' src='https:&#47;&#47;public.tableau.com&#47;static&#47;images&#47;of&#47;ofPayersDisclosingDataperMonth&#47;PayersbyMonthDashboard&#47;1_rss.png' style='border: none' /></a>

Browse by payer name to find where payers have disclosed in network rates.

For starters, choose a payer name to get a glimpse of where in-network providers appear across the country. Note - some regional payers also published data nationwide for their national or rental networks. We derive these geography mappings by tying in-network provider EINs and NPIs to a mix of public and private provider demographic data. While areas of higher provider concentration imply denser payer networks, they may also be correlated to higher relative population.

<a href='#'><img alt='Provider Coverage Dashboard ' src='https:&#47;&#47;public.tableau.com&#47;static&#47;images&#47;Ma&#47;March23PayerMetadata-ProviderCoverage&#47;ProviderCoverageDashboard&#47;1_rss.png' style='border: none' /></a>

Browse by Geography to see how many payers have in network rates disclosed for each CBSA.

Across the nearly 200 payers for which we've found in-network rates data, here you'll be able to drill down and see which payers publish in-network rates for each CBSA. Is there a high volume payer in your CBSA that you would expect to appear but doesn't? Let us know.

<a href='#'><img alt='Payer Coverage by CBSA ' src='https:&#47;&#47;public.tableau.com&#47;static&#47;images&#47;Ma&#47;March23PayerMetadata-ProviderCoverage&#47;PayerCoveragebyCBSA&#47;1_rss.png' style='border: none' /></a>

Select a payer to view associated metadata about the payer's disclosure.

These three tables give us a view of the rates and service types disclosed for each payer:

• What provider classifications appear in the payer's data? (are there any critical provider classifications missing, such as Acute Care Hospitals?)
• Has the payer disclosed rates for both professional and institutional charges?
• Has the payer disclosed rates for a wide array of service categories? (these get pretty granular - but be on the lookout for high volume, high cost categories like surgeries and inpatient rates denoted by MDC categories).

<a href='#'><img alt='Payer Metadata ' src='https:&#47;&#47;public.tableau.com&#47;static&#47;images&#47;Ma&#47;March23PayerMetadata-ProviderCoverage&#47;PayerMetadata&#47;1_rss.png' style='border: none' /></a>