Resource Library

Everything you need to
navigate healthcare pricing

Deep-dive analysis, practical guides, and original research from the team that processes hospital and payer rate data nationwide every month.

Showing 13 resources
Brief

Hospital MRF Compliance Checklist: 12 Things to Verify Before Your Next CMS Audit

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.

Insight

CMS Enforcement Acceleration: What the 2025 Penalty Wave Means for Hospitals

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.

Blog Post

Hospital Price Transparency 2025: Your Complete Compliance Guide to Avoid Millions in Penalties

Everything hospitals and health systems need to know about federal price transparency requirements in 2025, including MRF standards, CMS enforcement, and penalty avoidance strategies.

Blog Post

Why Price Transparency Data is Non-Negotiable for Your Self-Insured Plan

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.

Insight

Q1 2025 MRF Data Quality Report: Trends Across 700+ Payer Files

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.

Blog Post

An Analysis of Payer Machine-Readable Files (MRFs) and the Challenges of Healthcare Price Transparency

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.

Blog Post

The Current State of Hospital Price Transparency in February 2025

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.

Brief

Transparency in Coverage: A 5-Minute Briefing for Benefits Leaders

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.

White Paper

Hospital Pricing Transparency Whitepaper

A deep dive into the laws, data standards, penalties, and fee structures behind CMS hospital price transparency.

Blog Post

How AI Is Transforming Healthcare

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.

Blog Post

February 2024 Hospital Price Transparency Report Reveals Widespread Noncompliance

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.

Blog Post

A Quick Glimpse into Healthcare Price Transparency Efforts

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.

Blog Post

Price Transparency: Bringing Clarity to the Cost of Health

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.