Serif Health
Serif Health delivers validated, enhanced healthcare price transparency data from billions of machine-readable records each month. Organizations use this data to analyze in-network reimbursements, optimize contracting, manage networks, estimate costs, and conduct market analytics.
Data and Analytic Enrichment
Serif Health is the gold standard for accessing newly published healthcare price transparency data mandated by Transparency in Coverage Regulations. Each month, Serif Health ingests billions of rows of pricing data posted by health plans and hospitals as machine readable files (MRF), cleans, standardizes, and enhances this data to make it usable for any healthcare organization.
Serif Health’s national data library includes data from over 200 payers, 500 networks, and 4000 hospitals, augmented with commercial claims data, to provide full geographic coverage and market-leading technical expertise in price transparency. Serif Health’s deep focus on data engineering and AI helps to continually improve MRF data ingestion, normalization, gap filling, and enhancement.
Our product offerings include the comprehensive web platform Signal for real-time price transparency searches, reports, and analysis; Pricing Data Extracts and Reports; Bulk Data License partnerships (via AWS, Snowflake, Databricks, SFTP, etc.); and a suite of Comprehensive Price Transparency APIs.
Serif Health’s price transparency products enable customers across the healthcare ecosystem to make use of price transparency data to gain new market insights, develop strategy, and comply with new regulations. Providers can use Serif Health’s price transparency offerings to improve payer contracting and gain market intelligence across payers and providers. Payers can power contracting, network management, and benefit design with pricing and network insights. Employers, third-party administrators, and benefits brokers/consultants can analyze costs down to the provider level to select cost-effective plans, negotiate better rates, and empower employees with better cost estimates. Serif Health aims to make price transparency the norm in U.S. healthcare and help customers capture the full potential of transparency data to ultimately reduce complexity and lower costs across the board.
Los Angeles, CA. Learn more at serifhealth.com
Key features:
- Robust data ingestion pipeline
- Scaled, automated MRF extraction each month across 500+ plans, 4000+ hospitals
- Optimized intake, resulting in 10x lower compute, storage costs
- Normalization and shimming to capture files others cannot
- Rigorous QA processes
- Metadata creation to flag gaps; benchmarked against historicals
- Claims-driven elimination of ‘ghost’ rates (e.g., non-utilized codes for each provider) to remove wasted data
- Accuracy feedback provided by 200+ payer, provider clients
- Data enrichment and analytics
- CMS baselines and base rate calculations
- Organization tagging with name, region, taxonomy using proprietary provider directory and matching methodologies
- Custom data models, configuration, and formatting for quick ease-of-use
- Collaboration with CMS and other agencies to improve data quality and enforcement
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