FINN Voices: Transparency in Coverage Data Is Transforming Payer Negotiations with Ryan Kelly

Transparency in Coverage Data Is Transforming Payer Negotiation Host Beth Friedman, Senior Partner, FINN Partners engages Ryan Kelly, Senior Director of Content & Growth at Trek Health, to explore the emerging role of Transparency in Coverage (TiC) data in healthcare payer negotiations. Originally mandated by federal regulation, TiC rules require insurers to publish detailed information about negotiated reimbursement rates between payers and providers. While the data was technically public starting in 2022, its massive scale and complexity made it largely unusable, until recently. Ryan explains how new analytics platforms are transforming this information into actionable insights for health systems and physician organizations. With access to competitive reimbursement benchmarks, providers can now negotiate contracts with payers using real market intelligence rather than assumptions. The conversation also explores how transparency data supports strategic planning, service line expansion, and revenue optimization. Looking ahead, Ryan shares how AI and contract intelligence tools may further personalize these insights, helping provider organizations navigate the increasingly complex landscape of healthcare reimbursement.Leveling the Playing Field: Using Price Transparency Data for Smarter Payer Negotiations: In the world of commercial payer contract negotiations, more data doesn't always mean better intelligence. They explore how health systems are transforming raw Transparency in Coverage (TIC) datasets into strategic leverage to replace guesswork, verify market benchmarks, and secure fair reimbursement with commercial payers. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen