2025 Industry Partner Showcase Session-Mathematica

Video Transcription

Video Summary

Evelyn Lee from Mathematica discusses their Price Prism tool, developed to utilize data from the 2022 Transparency and Coverage (TIC) Rule requiring commercial health plans to disclose negotiated prices. This vast, complex data—covering all providers, plans, and regions—is transformed into accessible, research-grade datasets and dashboards. The tool aids medical societies in education, research, and advocacy by revealing payment patterns, regional pricing disparities, and enabling data-driven contract negotiations. Dr. Matt Popovich of ASA highlights how this data empowers anesthesiologists to negotiate better with payers and supports advocacy under the No Surprises Act. Mathematica offers flexible partnership models tailored to societies' needs.

Keywords

Price Prism tool

2022 Transparency and Coverage Rule

health plan negotiated prices

payment pattern analysis

No Surprises Act advocacy