Plan Strategies

Elevate your network management and contracting using the new standard in price transparency.

Network Management

• Enhanced Oversight:
  Harness the latest in price transparency data combined with advanced network analytics to assess your provider network across diverse markets.
• Benchmark & Identify Opportunities:
  Compare network costs, uncover untapped contracting prospects, and build robust, high-performing networks. Easily filter regional providers by specialization, group size, location, and cost.
• Integrated Data Sources:
  Our system partners with trusted data sources to enrich pricing information with insights on provider quality, service volume, and network adequacy—empowering you to make well-informed decisions.

Plan Design

• Informed Premium Setting:
  Historically, provider reimbursement data was a missing piece in establishing plan premiums and deductibles. Now, gain a clear picture of how your provider network’s scale, cost, and scope compared to competitors.
• Competitive Edge:
  Discover new opportunities to refine your plan, ensuring it remains attractive and competitive in your markets by integrating critical reimbursement insights into your strategic planning.

Member Navigation

• Directing to Value:
  Utilize comprehensive machine-readable file (MRF) data services to guide your members toward more cost-effective care.
• Optimized Provider Selection:
  Identify high-quality, affordable providers in key markets and enhance your transparency tools so members can better understand and manage their care expenses.

Customer Solutions

• Empowering Contract Structures:
  Innovative tools have unlocked vital information that reshapes contract strategies, providing essential insights that support more effective structuring and clearer understanding of price transparency.
• Streamlined Decision-Making:
  One solution has minimized the tedious back-and-forth of gathering reimbursement data by pinpointing viable clinical groups, enabling early, data-driven discussions that boost credibility.
• Clear Market Positioning:
  Other organizations have leveraged these insights to eliminate uncertainty during negotiations, ensuring a transparent view of market standings.
• Simplified Data Utilization:
  The technology efficiently transforms complex MRF data into actionable intelligence, removing extraneous details and bridging information gaps between all stakeholders.