>50% of teams report it is a "significant to very significant challenge" to obtain:

• Payer cost data
• Hospital chargemaster data
• Longitudinal enrollment coverage at the patient level
• HCRU by setting of care
• Patient insurance assignment/status

What’s behind the challenge? 

• No access to a comprehensive data source that tracks the patient journey —  across HCPs, HCOs, care settings, and payers — capturing switches in patient insurance
• Lack of access to coverage/cost data for treatments, procedures, products, and services
• Using data that doesn’t include all payers or includes payers but not health plan type (e.g., PPO vs. high deductible or Medicare FFS vs. Medicare Advantage)
• No access to patient enrollment data to confirm the payer coverage listed on claims