CHORD (Cross-channel Hospital Outpatient Reimbursement Database)
is a comprehensive analytics-ready database of payer-provider negotiated rates
To optimize both payer and provider contracting strategy for drugs administered in the hospital outpatient setting through the analysis of
Variation in negotiated rates for competing drugs across payers and providers
Differential reimbursement across competing drugs
Relationship between NCR and product preference
Provider discounts to position a favorable NCR vis-à-vis competition
Level of homogeneity in negotiated rates in a Health system
Lookup payer reimbursement rates at any level of Payer, Provider and Geographic granularity
- • Commercial, Medicare, Medicaid
- • exchange, Medicaid managed care
- • and Medicare Advantage
- • Variation in reimbursement rates across hospitals
- • Homogeneity of reimbursement rates within a health system
- • Differential reimbursement across competitive drugs
Payer negotiated rates for all hospital outpatient and inpatient procedures at the plan level
Payer reimbursement methodology by plan, provider and procedure (Fee Schedule vs % Billed Charges, Case Rate, Per Diem etc.)
Negotiated rates for APC based payments
Hospitals that are operationally and technologically integrated (set up with the same Charge Data Master)
Level of uniformity it negotiated rates across Hospitals in a Health System
CHORD's analytic-readiness and accessibility is the result of our systematic and rigorous process of data extraction, curation, mastering, integration and visualization.
Hospital Published Price Transparency Files
Development of custom web-scraping, data validation and ingestion programs to stage Price Transparency Files
Multi-step LLM-based Payer-Plan Mastering
LLM augmented program to incrementally master payer-plan relationships and establish LoB
Provider Mastering & Hierarchy Mapping
Integration of provider ownership, enrollment and cost report data to create hospital profiles
CMS Standardized Codeset Bridging & Integration
OpenFDA, RxNorm, CMS codesets to standardize codes; Integration of CMS ASP payment limits
Cloud-based Dashboard Design & Deployment
Design and deployment of the database on a cloud-based BI platform for ready access and analysis