Stop Negotiating Blindly: Weaponize Your Data to Win Fair Rates

You didn’t go to medical school to become a contract negotiator, yet that is exactly where many providers find themselves. The cycle is exhausting: renegotiating rates every 1 to 3 years, a process that drags on for months and distracts you from patient care.

The real problem isn’t just the time it takes; it’s the information asymmetry. When you sit down to negotiate, the insurance giants hold all the cards. They know the market rates; you don’t. To actually win a negotiation, you need answers to critical questions:

  • Which CPT codes drive your revenue, and are they priced fairly?

  • Where do your reimbursement rates fall compared to the practice down the street?

  • Is your “negotiating power” actually weak, or are you just being told it is?

For decades, payers hid behind “proprietary” clauses to keep this data secret, preventing physicians from comparing notes. They kept you in the dark to keep your rates low.

The Game Changed (But They Hid the Rules)
The Transparency in Coverage (TiC) rule, finalized in 2020, was supposed to level the playing field. It mandated that payers make their negotiated rates public. But there was a catch.

The payers complied maliciously. They released the data not in readable spreadsheets, but in massive, complex JSON files, terabytes of unreadable code. They followed the letter of the law while burying the spirit of it under digital noise.

The “Big Business” Advantage
Who could afford to decode this mess? Only the giants. Large hospital systems and Clinically Integrated Networks (CINs) spent millions to parse this data, using it to negotiate higher rates for themselves. Independent physicians were left with a binary choice: join a network and lose your autonomy, or stay independent and fly blind.

Level the Playing Field with Reveon
Reveon Health exists to break that binary. We have decoded, cleaned, and refined those massive files to democratize the data. We took the weapon that hospitals use and put it in the hands of the independent provider, affordably.

With Reveon, you can finally:

  • Audit Your Pay: Ensure you are actually being paid the contracted rate, not a penny less.

  • Benchmark Reality: See exactly how your reimbursements stack up against your neighbors and local competitors.

  • Fact-Check the Networks: Compare your rates against CINs to see if their “leverage” is real or a myth.

  • Negotiate with Leverage: Walk into negotiations with the payer’s own data. They cannot dispute the numbers when the source is their own public filing.

Data. Decoded. Delivered. You don’t need to be a massive conglomerate to get a fair deal; you just need the truth. We weren’t trained to practice medicine based on guesses, and we shouldn’t be asked to sign contracts based on them either.

The data is now in your hands. Stop trying to diagnose the market without the labs, arm your practice with Reveon and demand the rates you deserve.