PlanOptix®
Illuminating Healthcare Price Transparency Data
Plug into market intelligence that will help you work smarter
Transforming Data into Usable Insights
The Transparency in Coverage and Hospital Price Transparency rules mandating that health plans and hospitals publish pricing data has created billions of pricing records, though much of it is unusable. This has created a dense web of inconsistent, and sometimes inaccurate, information. Our revolutionary healthcare price transparency data solution sheds light on this raw data—transforming it into a database with over 500 billion records of pricing data to provide usable information for valuable insights you can act on.
Medicare Benchmarked Price Transparency
Discount analysis and repricing doesn’t cut it anymore when helping your clients make decisions.
Population Study
Quickly provides reliable data and comparisons for geographically dispersed employee populations, streamlining decision-making for nationwide services.
Market Study
Offers comprehensive data on costs and pricing for various plans and services in a specific area, helping employers select the optimal options.
Provider Study
Delivers reliable information about payor rates for individual facilities within a healthcare system, pinpointing the most affordable options.
Rate Search
Provides access to up-to-date data on payor rates for a wide variety of services within a healthcare specialization, driving cost savings through detailed comparisons.
In this guide, learn how PlanOptix empowers health plan advisors with accurate, comprehensive healthcare pricing data, enabling informed decision-making and strategic contract negotiations.
How can our healthcare price transparency tool help you?
Healthcare price transparency data from PlanOptix offers a diverse range of capabilities for several key players.
Healthcare Brokers
Compare networks, contract rates and health payors to select the ideal health plans and networks for your clients.
- Identify optimal providers to create targeted cost-containment programs
- Benchmark and understand market position to differentiate
- Confidently negotiate direct contracts and customize deals to win and retain business
Employers
Compare networks and health payors to inform plan design and optimize healthcare benefits for your employees.
- Compare contract rates to identify optimal network partners
- Curate and optimize networks to meet cost and access goals
- Confidently negotiate direct contracts and customize deals (self-insured employers)
The PlanOptix Advantage
Medicare Benchmarking
Our proprietary approach uses Medicare reimbursement data as a baseline for all comparisons, revealing true cost differences that discount percentages hide.
Four Decades of Healthcare Pricing Knowledge
Built by Claritev on a foundation of unmatched healthcare data expertise to deliver insights you can trust.
Data Usability Rating
Know exactly which data sources to trust with our at-a-glance rating system that evaluates the completeness and reliability of each data set.
Implementation in Days, Not Months
Our web-based, self-service platform requires minimal setup and delivers immediate value without disrupting your workflow.
Easy to Use Interface
Making you the hero of your data allowing you to quickly spot compare and prioritize changes to reduce costs and increase savings.