Deep-dive analysis, practical guides, and original research from the team that processes hospital and payer rate data nationwide every month.
Health insurance costs are climbing again in 2026 and the ACA subsidy cliff is pushing millions to go without coverage. Here's why paying cash can beat insurance, and how SumHealth's free cash price checker puts real hospital prices in patients' hands.
A practical compliance checklist for hospital CFOs and compliance officers covering the most common MRF deficiencies cited by CMS — and how to verify each one before auditors do.
An analysis of CMS enforcement patterns in 2025, including the expansion of audit scope, penalty acceleration for repeat violations, and what hospitals should do immediately to reduce their exposure.
Everything hospitals and health systems need to know about federal price transparency requirements in 2025, including MRF standards, CMS enforcement, and penalty avoidance strategies.
After receiving a CMS corrective action notice, a 12-hospital regional health system used SumHealth's validation suite to identify and resolve 1,400+ MRF errors — and achieve compliance before the penalty clock ran.
A Midwest manufacturer used SumHealth's BenchMarks platform to discover their TPA rates were 23% above market median — and renegotiated their ASO agreement to capture over $1.4M in savings.
Self-insured employers are leaving millions on the table by not using healthcare price transparency data to audit their plans, benchmark rates, and negotiate smarter contracts.
SumHealth's quarterly analysis of machine-readable file quality across the U.S. payer landscape — covering schema compliance, NPI accuracy, file accessibility, and year-over-year improvement trends.
A technical deep-dive into the structural challenges of payer MRFs: file size, schema inconsistencies, provider matching, and why processing them at scale requires specialized infrastructure.
Hospital price transparency has become a cornerstone of healthcare reform, with new regulations taking effect January 1, 2025. An overview of the current state of compliance, consumer impact, and what comes next.
A concise summary of the TiC rule's core requirements, who it applies to, what data it makes available, and why it matters for employers, payers, and providers.
A deep dive into the laws, data standards, penalties, and fee structures behind CMS hospital price transparency.
Six ways artificial intelligence and generative AI are reshaping global healthcare — from cardiac imaging and lung cancer prediction to drug discovery, documentation, chronic pain, and mental health support.
Key insights from the February 2024 Hospital Price Transparency Compliance Report, which analyzed 2,000 U.S. hospitals and found only 34.5% fully compliant with the federal price transparency rule.
A look at the legislation and initiatives working to lift the veil on medical billing — from the Hospital Price Transparency Rule to the No Surprises Act and state-level efforts — and what still stands in the way.
Why pricing transparency is a fundamental patient right, how the Hospital Price Transparency Rule and its penalties work, and how SumHealth Search makes hospital pricing data clear and comparable.