Core Research & Data
Actionable Market Rate Intelligence
The verified, normalized rate intelligence healthcare leaders need to evaluate reimbursement performance, benchmark against competitors, and strengthen payer negotiations.
Maximize Negotiations with Actionable Insights
Core Research & Data transforms complex, payer-published transparency data into a structured, standardized source of truth for finance and payer strategy teams.
Normalize and consolidate commercial payer rate data each quarter.
Filter by provider, payer, geography, specialty, or billing code.
Benchmark competitor rates and pinpoint variation across facilities, regions, and service lines.
Export clean datasets to power internal analysis and strategic financial modeling.
Insights that Drive Smarter Growth
Unlock revenue opportunities and strengthen negotiations with real-time, actionable market intelligence.
Rate Research: Provider-level Rate Visibility
Drill into your organization’s specific reimbursement across multiple billing codes, organized by taxonomy and region.
- Pinpoint provider-level rate discrepancies to target negotiation opportunities
- Avoid outdated rates by validating against payer-published data
- Monitor changes in reimbursement over time to maintain competitive positioning
- Support service line and market strategies with detailed provider-specific insights
Group Rate Research: System-wide Rate Intelligence
Understand how your organization is reimbursed across payers, billing codes, and locations to uncover variations and drive stronger, enterprise-wide negotiation strategies.
- Drive uniform, higher-performing contracts that lift revenue across the enterprise
- Eliminate missed renegotiation opportunities with a single, system-wide view of payer performance
- Maximize negotiation leverage with consolidated, organization-level rate intelligence
Query Builder: Custom Analytics Without Limits
Build tailored, filter-based searches across raw payer rate data to generate detailed exports and empower in-house analysis and modeling.
- Accelerate high-value negotiations with payer-specific rate intelligence
- Quantify the financial upside of contract adjustments before discussions begin
- Discover hidden rate patterns that drive immediate revenue gains
- Reduce dependencies on outside consultants by empowering in-house analytics
Benchmark Report: Compare, Rank, and Win Better Rates
Analyze average reimbursement rates for specific procedures across defined markets to identify outliers, compare against market percentiles, and target improvement areas.
- Increase reimbursement by targeting payers with below-market rates
- Use percentile rankings to justify higher rates and secure stronger contract terms
- Focus negotiation efforts on ZIP codes or specialties with the highest revenue upside
Competitive Analysis: Understand and Outperform the Market
Compare a provider organization’s reimbursement rates directly against competitors to identify where others earn more for identical services.
- Win higher reimbursement by showing payers where competitors are paid more
- Close rate gaps in profitable service lines to unlock measurable revenue
- Redirect payer dollars to your system by demonstrating market inequities in your favor
- Validate strategy with competitor-specific proof points
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Competitive Market Analysis (CMA): Outperform Every Negotiation
Get a clear, high-level view of how your organization performs against the market, starting with a visual performance dashboard. Then drill down into competitive benchmarks to uncover revenue opportunities and guide targeted contract strategies.
- Compare reimbursement across markets, payers, and service lines to identify areas of underperformance
- Target high-impact negotiation opportunities backed by competitor-specific proof points
- Support market expansion decisions with validated performance data
- Build a negotiation narrative anchored in competitive advantage
Rate Change: Track and Act on Market Movement
Monitor quarter-over-quarter reimbursement changes for your organization and competitors to identify patterns, pinpoint anomalies, and forecast the financial impact of rate shifts.
- Detect downward trends early to protect revenue before renewals
- Validate payer claims and rate changes with historical data
- Highlight positive trends to reinforce payer relationship and maintain gains
- Guide long-term contract strategy with multi-year rate performance analysis
Frequently Asked Questions
How does Core Research & Data help improve payer negotiations?
Core Research & Data normalizes and consolidates payer-published rates into a single source of truth, allowing finance and contracting teams to benchmark against competitors, pinpoint rate discrepancies, and validate negotiation positions with proof points directly from payer data.
Can provider organizations use Core Research & Data to benchmark reimbursement rates across regions and specialties?
Yes. The platform enables filtering by provider, payer, geography, specialty, and billing code. This enables leaders to compare reimbursements across facilities and service lines, identify rate variations, and target the highest-value opportunities for contract improvement.
How accurate and reliable is the rate intelligence provided by Core Research & Data?
All data is pulled directly from payer-published MRFs and updated quarterly to ensure accuracy and reliability. Core Research & Data validates rates against source files to eliminate outdated information and provide healthcare executives with verified, market-level intelligence.
What types of insights can healthcare finance teams gain from Core Research & Data?
Healthcare finance and strategy teams can identify underpayment risks, track reimbursement trends over time, quantify the financial benefits of contract adjustments, and benchmark performance against competitors. These insights directly support payer negotiations, market expansion, physician recruitment, and long-term financial planning and decision-making.