Payer Data Reporting: Relative Price (RP)

Relative Price (RP)
Report Resources

• Relative Price Data Specification Manual (PDF) | Word
  
  
• Relative Price User Guide (PDF) | Word
  
  
• Uniform Provider List for Relative Price Reporting (Excel)
  
  
• Multiplier Summary (PDF) | Word
  
  
• Relative Price Methodology Documentation (PDF) | Word
  

Reporting Templates

• Hospital Reporting Template (.xlsm)
  
  
• Physician Group Reporting Template (.xlsm)
  
  
• Other Provider Reporting Template (.xlsm)

• Related Regulation and Administrative Bulletins

Submission Deadlines

• Hospitals – October 20, 2023
• Multiplier Calculation Summary – October 20, 2023
• Physician Groups – October 27, 2023 
• Other Providers – November 17, 2023

Overview

M.G.L. c. 12C, § 10 requires the Center for Health Information and Analysis (CHIA) to collect certain information from both private and public health care payers in the Commonwealth.

Payers must submit data annually in accordance with Regulation 957 CMR 2.00.  This regulation governs the methodology and filing requirements for health care payers to calculate and report on Relative Price (RP) data.

Filing Application

The blue box on the right of this page contains the relative price reporting resources. The submission deadlines for relative price reporting (as also outlined in the gray box on the right of this page) are:

• Hospitals – October 20, 2023
  
  
• Multiplier Calculation Summary – October 20, 2023
  
  
• Physician Groups – October 27, 2023 
  
  
• Other Providers – November 17, 2023

For more information and regulatory guidance, please refer to Regulation 957 CMR 2.00 (Payer Data Reporting) and the latest Administrative Bulletins.

Questions

For questions specifically related to payer data reporting, please email Shalome.Sine@chiamass.gov.