Altitude Intelligence converts CMS Transparency‑in‑Coverage filings into procedure‑level payer rate benchmarks filtered by facility type, size, and geography, giving community hospitals and ambulatory surgery centers clear, data‑driven leverage in contract negotiations. The platform delivers side‑by‑side comparison reports and pre‑negotiation pricing analyses, supported by expert analysts who turn raw data into actionable negotiation strategies and presentation‑ready materials.
Funding
Funding not disclosed
Founders
Product
Problem
Community hospitals, ambulatory surgery centers (ASCs), and provider organizations lack easy access to actionable benchmark data on payer rates, because Transparency‑in‑Coverage filings are released as massive, unstructured files that contracting teams cannot efficiently process. Without reliable peer‑rate comparisons, providers negotiate contracts without knowing whether payer proposals are fair, putting them at a disadvantage.
Solution
Altitude Intelligence transforms the publicly available Transparency‑in‑Coverage data into procedure‑level payer rate benchmarks that are filtered by facility size, geography, and specific payers. The service combines automated data processing with expert analysis to produce clear, negotiable insights for contracting teams. Clients receive customized reports that juxtapose a payer’s proposed rate with actual contracted rates of comparable peer facilities, highlighting gaps and leverage points. The platform also prepares forward‑looking benchmarks for new CPT codes before payers set default rates, enabling proactive negotiation. All deliverables are formatted for CFOs, board members, and payer representatives, supporting data‑driven discussions during contract renewals.
Target Audience
Primary customers are contracting and finance teams at community hospitals, freestanding surgery centers, and other provider organizations that negotiate commercial payer contracts.
Features
- End‑to‑end ingestion and normalization of terabytes of CMS Transparency‑in‑Coverage files across multiple commercial payers
- Procedure‑level benchmark generation filtered by facility type, size, and geographic market
- Side‑by‑side comparison reports that contrast payer proposals with peer‑facility contracted rates
- Pre‑negotiation pricing analysis for upcoming CPT additions to ASC‑payable lists
- Services‑led approach where analysts synthesize data into actionable negotiation strategies and presentation‑ready materials
- Ongoing expansion of payer and regional coverage to broaden benchmark applicability