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Self-InsuredPlanAdmin

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  1. TLDR: Why is Price Transparency data not in wider use compared to UDS data? I'm researching the relatively new Price Transparency data required by the federal government as part of the Hospital Price Transparency (Hospital Prices) and the Transparency in Coverage (Health Plan Prices) rules. It seems to me that these new data would be a boon for self-insured employers to reprice their current year's health care claims with pricing data at the level of individual services (i.e. HCPCS, DRGs, etc) and to choose a health plan that would provide them with better savings for all of their employees (especially those with high deductibles). However, from what I can tell, the current industry standard is to use the UDS (Uniform Discount and Data Specification) data for this purpose, even though the UDS data is prone to major inaccuracies and is at a much more aggregate level (aggregated across 3-digit zip codes). And further, many brokers and consultants I have spoken to are dismissive of the Price Transparency data as not very useful. What am I missing here that makes the UDS data so much better than the Price Transparency Data?
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