named programs · 6 · from sources
What they call their work
FAIR Health Provider
Provider-facing website with educational resources to support shared decision-making, particularly for older adults, minority communities, and palliative care scenarios.
FAIR Health for Older Adults
Consumer website offering price-informed shared decision-making tools, checklists, and cost resources for older adults and caregivers, including condition-specific tools for breast cancer, prostate cancer, spinal stenosis, and Alzheimer’s disease.
FH Consumer Classroom
Mobile app providing educational content on health insurance literacy in English and Spanish, including articles, videos, glossary, and links to cost lookup tools.
FH® SHARE NYC
New York City initiative collaborating with clinical institutions to implement price-informed shared decision-making tools for older adults and caregivers at the point of care, accompanied by a citywide dissemination campaign.
Telehealth Access Study in Connecticut
Claims-based research initiative analyzing telehealth utilization and outcomes among people of color in Connecticut to assess equity and access improvements.
YouCanPlanForThis.org
Statewide cost transparency website for New York offering in-network and out-of-network cost estimates, provider comparisons, and quality metrics for common medical procedures.
activities · 4 groups
What they do
-
Data & Technology Capacity Building 2 activities
- Deliver custom analytics and data visualization toolsProduces custom datasets, interactive dashboards, and data visualizations—including heat maps for maternal care costs—for specific procedures, geographic areas, and healthcare trends, enabling strategic decision-making for clients and contributors.
- Provide training and technical support for data useOffers training sessions, on-site support, and technical assistance to clients, data contributors, and counsel on accessing, loading, and using FAIR Health data products, methodologies, and tools for litigation, dispute resolution, and consumer education.
-
-
Healthcare Provider Directories and Clinical Support Services 1 activity
- Operate consumer and provider-facing cost transparency toolsOperates multilingual websites and mobile apps—FAIR Health Consumer and FAIR Health Provider—that offer tools for estimating medical and dental costs, understanding insurance reimbursement, and supporting shared decision-making for patients and clinicians, particularly older adults and minority communities.
-
-
Medical Research & Education Dissemination 1 activity
- Produce original research and data visualizationsProduces white papers, research briefs, infographics, and market intelligence reports on emerging healthcare issues such as the opioid crisis, type 2 diabetes in youth, telehealth, and the impact of the No Surprises Act. These publications use FAIR Health’s claims data to inform stakeholders and the public.
-
-
Uncategorized 3 activities
- Develop and distribute benchmark data productsCreates and maintains FH® Benchmarks and other data products used nationally for claims adjudication, fee schedule development, and reimbursement determinations. Data is refreshed every six months using outlier-adjusted, 12-month claims windows and organized by geozip for granular geographic analysis.
- Provide healthcare claims data for research and policyProvides objective, statistically significant healthcare data from over 53 billion Medicare and privately insured claims to support academic research, government policy development, legislative initiatives, and public health programs across all 50 states and Washington, DC. Data is used in federal and state statutes, regulations, and health programs, including under the No Surprises Act.
- Support data contributors with validation and reportingProvides nonpublic reports and data validation feedback to contributing payors and third-party administrators, combining their data with de-identified Medicare and private claims, identifying billing anomalies, and ensuring data quality through CMS Qualified Entity status.
-
financials · form 990 · fy2024
revenue
Total revenue$37.94M
Contributions & grants$185K0%
Program service revenue$36.00M95%
Investment income$1.75M5%
Other revenue$4K
expenses
Total expenses$37.14M
Program expenses87%
Admin / overhead13%
Fundraising1%
Salaries & benefits$27.92M
Grants paid out$0
Largest expense lineCompensation
balance sheet
Total assets$55.49M
Cash$11.59M
Investments$32.26M
Liabilities$25.52M
Net assets$29.97M
Liquid reserves14.2 mo
5 years on record · 2019–2024 · YoY revenue +1.6%
leadership · form 990 part vii · fy2024
Who runs it
paid leadership · 11
| Name | Title | Hours/wk | Compensation |
|---|---|---|---|
| ROBIN GELBURD | PRESIDENT (OUTGOING) | 40 | $1.09M |
| BENJAMIN CASADO | CHIEF TECHNOLOGY OFFICER | 40 | $792K |
| THOMAS SWIFT | COO | 40 | $637K |
| DEAN SICOLI | CHIEF COMM'N OFFICER | 40 | $582K |
| JEFFREY NEWBAUER | CHIEF ANALYTICS ENGMT. OFFICER | 40 | $481K |
| KATE WOODROW | GENERAL COUNSEL | 40 | $448K |
| CHRISTINE O'DONNELL | E.D. OF GOVERNMENT ENG. OFFICER | 40 | $441K |
| DONNA SMITH | CHIEF CLIENT OFFICER | 40 | $440K |
| JOSHUA SMOLINSKY | E.D. PRODUCT CREATION & ANALYTICS | 40 | $407K |
| WAYNE SCHULTZ | CHIEF FINANCIAL OFFICER | 40 | $370K |
| RAY CAMPBELL | PRESIDENT (INCOMING) | 40 | $191K |
board members · 9
- CHRISTINA SEVERIN — DIRECTOR
- CHRISTOPHER F KOLLER — DIRECTOR
- GRACE WONG — DIRECTOR
- JAMES ROOSEVELT JR — DIRECTOR
- JAMES W LYTLE — TREASURER
- LAWRENCE CASALINO — DIRECTOR
- PHYLLIS BORZI — SECRETARY
- ROBERT PARKE — CHAIR
- ZACHARY CARTER — DIRECTOR
relationships · 16
Who they work with
- CMS Government — Designated as a CMS Qualified Entity to produce nonpublic reports using contributor and Medicare data
- CMS Government — Designated as a Qualified Entity (QE) by CMS to handle Medicare data.
- Federal No Surprises Act Government — Official data provider for the federal No Surprises Act through the FH® NSA Reference File.
- Frontiers in Public Health Partner — Collaborates on publishing research related to chronic disease policy using FAIR Health data.
- Milbank Memorial Fund Partner — Christopher F. Koller, President of the Milbank Memorial Fund, serves on the FAIR Health Board of Directors.
- New York State Government — Established as part of a settlement of an investigation by New York State into conflicts of interest in claims adjudication
- The Fan Fox & Leslie R. Samuels Foundation Funder — Funded the development of FAIR Health Provider, a clinician-oriented educational website.
- The John A. Hartford Foundation Funder — Awarded multiple grants to FAIR Health for initiatives focused on price-informed shared decision-making for older adults.
- The New York Community Trust Funder — Funded several FAIR Health initiatives including FH SHARE NYC, FH LAUNCH Español, and a palliative care shared decision-making project.
- The New York Health Foundation Funder — Provided funding for NY HOST and an initiative to advance shared decision-making for patients of color.
- US Congress Government — Utilizes FAIR Health’s data and expertise for policy development and legislative initiatives.
- Yale School of Public Health Partner — Collaborated through Dr. Chima Ndumele to create shared decision-making tools for patients of color.
- clients Partner — FAIR Health provides dispute resolution support, training, and evidentiary resources to clients challenging reimbursement decisions.
- government reports Partner — FAIR Health data is used in government reports by researchers and policymakers.
- independent healthcare economists and statisticians Partner — Consults with independent healthcare economists and statisticians to gain external perspective on benchmark methodologies.
- prominent publications Partner — Academics, policy makers, and business leaders publish research using FAIR Health data in prominent publications.
strategies · 3
How they approach the work
Named approaches extracted from this org’s sources. Where others share an approach, follow it to see the full set of orgs running it.
- Data-Driven Consumer and Clinical Decision Supportmethodology: price-informed shared decision-makingBy transforming claims data into consumer tools and clinical decision aids that integrate cost information, FAIR HEALTH empowers patients and providers to make price-informed, shared decisions because combining financial transparency with clinical evidence improves health insurance literacy and aligns care with patient preferences and financial realities.
- Data-Driven Transparency for Healthcare Improvementmethodology: data-driven transparencyBy providing objective, unbiased, and transparent healthcare cost and utilization data derived from large-scale commercial claims, FAIR HEALTH enables stakeholders to identify disparities, resolve reimbursement disputes, and improve healthcare quality, access, and affordability because transparency fosters trust, accountability, and informed decision-making across the healthcare ecosystem.
- Independent Benchmarking to Inform Policy and Reimbursementmethodology: independent_data_benchmarkingBy creating neutral, reliable, and statistically validated benchmarks from aggregated claims data, FAIR HEALTH supports state-level healthcare policy, reimbursement standards, and clinical practice improvement because independently stewarded data enhances credibility and broad acceptance among government and healthcare stakeholders.