United Healthcare Transparency in Coverage Dataset

Unlock the power of healthcare pricing transparency with our comprehensive United Healthcare Transparency in Coverage dataset. This invaluable resource provides unparalleled insights into healthcare costs, enabling data-driven decision-making for insurers, employers, researchers, and policymakers.

Key Features:

• Extensive Coverage: Access detailed pricing information for a wide range of medical procedures and services across the United States, covering approximately 76,000 employers.
• Granular Data: Analyze costs at the provider, plan, and employer levels, allowing for in-depth comparisons and trend analysis.
• Massive Scale: Over 400TB of data generated monthly, providing a wealth of information for comprehensive analysis.
• Historical Perspective: Track pricing changes over time to identify patterns and forecast future trends.
• Regular Updates: Stay current with the latest pricing information, ensuring your analyses are always based on the most recent data.

Detailed Data Points:

For each of the 76,000 employers, the dataset includes: 1. In-network negotiated rates for covered items and services 2. Historical out-of-network allowed amounts and billed charges 3. Cost-sharing information for specific items and services 4. Pricing data for medical procedures and services across providers, plans, and employers

Use Cases

For Insurers: - Benchmark your rates against competitors - Optimize network design and provider contracting - Develop more competitive and cost-effective insurance products

For Employers: - Make informed decisions about health plan offerings - Negotiate better rates with insurers and providers - Implement cost-saving strategies for employee healthcare

For Researchers: - Conduct in-depth studies on healthcare pricing variations - Analyze the impact of policy changes on healthcare costs - Investigate regional differences in healthcare pricing

For Policymakers: - Develop evidence-based healthcare policies - Monitor the effectiveness of price transparency initiatives - Identify areas for potential cost-saving interventions

Data Delivery

Our flexible data delivery options ensure you receive the information you need in the most convenient format:

• Custom Extracts: We can provide targeted datasets focusing on specific regions, procedures, or time periods.
• Regular Reports: Receive scheduled updates tailored to your specific requirements.

Why Choose Our Dataset?

1. Expertise: Our team has extensive experience in healthcare data retrieval and analysis, ensuring high-quality, reliable data.
2. Customization: We can tailor the dataset to meet your specific needs, whether you're interested in particular companies, regions, or procedures.
3. Scalability: Our infrastructure is designed to handle the massive scale of this dataset (400TB+ monthly), allowing us to provide comprehensive coverage without compromise.
4. Support: Our dedicated team is available to assist with data interpretation and technical support.

Harness the power of healthcare pricing transparency to drive your business forward. Contact us today to discuss how our United Healthcare Transparency in Coverage dataset can meet your specific needs and unlock valuable insights for your organization.

This statistic shows the 2024 ranking of the top 10 health care equipment and services companies in the United States based on revenue. The values were taken from the Financial Times equity screener database. Thermo Fisher Scientific Inc was ranked first, with a total revenue of 42.49 billion U.S. dollars.

Electronic medical and electronic health records vendors (EMR/EHR vendors) provide services while regulatory requirements and persistent technological advancement impact their bottom line and their clients. Federal mandates like the HITECH have boosted adoption rates, making digital recordkeeping ubiquitous. As clients consolidate, so do EMR/HHR providers. The trend toward consolidation has defined much of the last decade, with two companies, Epic Systems Corporation and Oracle, controlling roughly half of the US market, presenting significant barriers to entry for new vendors. Interestingly, the industry has seen a marginal drop in overall revenue, partly resulting from healthcare organizations negotiating lower licensing fees and transitioning to more cost-effective cloud-based systems; nonetheless, profit have climbed. Efficiency gains from large-scale client portfolios, high switching costs and consolidation boost operational leverage for providers. Industry revenue has declined at a CAGR of 0.3% to reach $19.4 billion in 2025, with revenue growing 3.6% in 2025 alone and profit continuing to trend upwards. EMR/EHR platforms embrace advanced technologies (artificial intelligence and wearable integration). The explosion of data from devices like smartwatches, sensors and continuous glucose monitors is reshaping patient management and supporting the shift toward personalized, holistic care. EHRs now aggregate this real-time health data, granting clinicians and patients actionable insight into chronic and acute conditions. As wearables proliferate and consumers and healthcare professionals call for seamless data integration, EHR and EMR systems with AI will remain central to connected care delivery. The market is forecast to strengthen at a CAGR of 4.0% to reach $23.6 billion by 2030, with profit continuing upward. Consolidation and increased concentration provide economies of scale, allowing dominant vendors to spread costs, innovate and improve profit. Switching to a different provider is extremely challenging after a healthcare organization implements an EMR system because of the considerable expenses and complexities associated with migrating data and integrating new systems. These hurdles lock in vendors, resulting in persistent concentration. However, competitive pressure among the large incumbents and niche providers leads to competitive pricing battles and slower profit growth. The push to innovate from healthcare providers will be strong and supported by regulatory actions that require enhanced interoperability and data privacy. Overall, performance hinges on the healthcare industry's financial stability and the benefits of updating and expanding EMR/EHR systems.