Solutions The Data You Need; the Format That Works for You

SOLUTIONBenchmark Data Products

Providing tried-and-true solutions to daily operational functions, FAIR Health’s family of charge and allowed benchmark products have become the industry-standard claims data resource. Stakeholders nationwide depend on our benchmarks for claims adjudication, fee schedule development, strategic business decisions and much more.

SOLUTION Episodes of Care

Understanding the complete set of services required to treat condition-specific “episodes” from beginning to end—adjusted to address risk factors and comorbidities—is key to performing critical functions, from determining value-based reimbursement to analyzing treatment patterns and conducting network negotiations. FAIR Health is your one-stop resource for innovative episodes of care products that can help meet your organization’s strategic goals—and identify the potential for savings.

FAIR Health is the only independent nonprofit certified and licensed by the Altarum Institute to operate its PROMETHEUS Payment® model, which is used to identify the services that make up each episode.

SOLUTIONCustom Solutions

FAIR Health recognizes that each organization has unique needs for claims data—and that meeting those needs can require highly customized datasets and analytics. We go beyond packaged products to offer you custom datasets and analyses that focus on the procedures, de-identified patient treatment history, venues of care, geographic areas and other elements you may wish to analyze. We also offer interactive data dashboards and visualization tools that can bring your insights to life.

SOLUTIONConsumer Resources

When it comes to navigating today’s complex world of health coverage, what consumers don’t know can hurt them. FAIR Health’s acclaimed suite of tools and educational resources helps consumers—including your plan members or employees—estimate costs for medical and dental care by location and understand how health insurance and reimbursement work. These resources, which can be customized and co-branded, are available online, through a mobile app and through a data feed to your web applications.

SOLUTIONPolicy Analysis

With the knowledge that FAIR Health is independent and that decisions based on our unbiased, objective claims data are broadly accepted across constituent groups, state legislators, government agencies and other stakeholders turn to FAIR Health for assistance in evaluating a wide range of policies and regulations.

SOLUTIONDispute Resolution

FAIR Health takes pride in the quality, reliability and acceptance of our data products, and we want our clients to share that confidence. In the event of challenges to reimbursement decisions, FAIR Health can provide support to help clients bring those disputes to a smooth resolution.