Battles Worth Fighting | Hospital Transparency and Machine Readable Files (MRF)

Since the Trump Administration signed an executive order on June 24, 2019, obliging hospitals to create improved transparency of hospital services pricing, there has been a push and pull within the industry to cope with both the specifics and spirit of these obligations.

Valhalla Business Advisors has the analytical and technical expertise, amplified by external support, to leverage newly available data under the hospital transparency regimes to add unique value to clients. These proprietary tools and resources are uniquely impactful and important to clients in the face of continued consolidation of hospitals and providers.

Of course, these hospital costs matter alot. Per Valhalla’s analysis of data from KFF, in most geographies the hospital portion of health care costs is 33-50%. See below:

Beyond the scope of this post is a review of the nuance of the transparency regulations. One of the obligations, though, is the posting of “machine readable files” which include methods by which to get otherwise useful data in a manner that requires education and training in computer science and programming.

Example of JSON output from Kaiser MRF file; Valhalla has the capabilities to ingest, parse, and analyze this data in conjunction with clients to deliver impactful insights.

Examples of the types of output generated from Valhalla’s analytics platform can be reviewed below:

Valhalla Business Advisors is extremely proud to bring boutique insights to self-funded clients; As a plan sponsor, it is very likely you haven’t seen this level of evaluation of your largest hospital providers. Valhalla’s unique ability to source, parse, and analyze this data based on a self-funded client’s utilization while remaining independent of the perverse incentives plaguing our competition stands out as a differentiating attribute for Valhalla. Feel free to reach out to Stuart or Jens to discuss further.

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