PlanOptix®
Objective, actionable market intelligence delivered in a streamlined platform.
Price Transparency Insights
Market Intelligence
Greater transparency and insight drives better decisions.
Price transparency is now the requirement for all payers, meaning you can access a new volume of competitor and industry data. However, having data access and data-driven insights are two very different things. Enter Claritev’s PlanOptix — a streamlined insights dashboard based on over 500 billion price data records across 100+ healthcare payers.
Pulling from our more than 40 years of claims experience, we clean and enrich the data to maximize the value it delivers. Presented through PlanOptix, data is transformed into actionable information to help payers, carriers, brokers, and employers all make more impactful decisions.
Competitive Intelligence: benchmark market position and target growth.
Performance Analytics: target MLR, compare total cost of care, and identify spend reduction.
Network Contracting: sharper negotiation tools, pricing strategy, and network curation.
Client Sales & Retention: enhance proposals and identify new clients and markets.
Data Enrichment: insights drawn from 1.4M+ contracted healthcare providers.
Enriched data at your
fingertips.
PlanOptix is built on the cleanest, most reliable price transparency data available, and makes these data insights available for search and extraction within seconds. Its ability to inform decisions goes far beyond that. Through the platform, you can compare pricing data according to specific codes, providers, or member populations to find the optimal plan for your specific needs. With a proprietary Data Usability Rating, PlanOptix also provides a standardized way to understand the quality and reliability of the data behind every insight, so you know when to trust the results.
PlanOptix® Search.
PlanOptix Search brings better contract negotiation into focus. Search through over 95 billion records of healthcare price data across national and regional payers in seconds — with MRF prices benchmarked against Medicare and Commercial benchmarks.
Provider Demographics
Demographics and affiliations for over 1.4 million contracted healthcare providers — ready for search and analysis.
Clinical Normalization
Clinical normalization algorithms so you can compare accurately across rate structures, codes, and networks.
Financial Benchmarks
Comparative financial benchmarks — such as Medicare and median allowed — built in for contextual pricing analysis.
PlanOptix® Intelligence.
PlanOptix Intelligence allows you to extract powerful insights faster — assessing rate trends through multiple angles to get the information you need, when you need it. Compare pricing across providers, markets, and populations.
Provider Study
Compare provider rates across networks. Provider Study helps you view details on top codes, service categories, rates, and network variances by provider.
Market Study
Compare rates in a market across networks and providers. Market Study helps you view details on top codes, service categories, and provider counts. Add context with Medicare rates as a benchmark.
Population Study
Compare provider rates for specific populations according to geographies. Population Study helps you view details on pricing data applied to member populations in specific markets, benchmarked with Medicare rates.
White Paper:
PlanOptix® — Standardizing the Quality of Healthcare Cost Transparency Data
Learn how PlanOptix elevates the quality and usability of healthcare cost transparency data — and how to put it to work for your organization.
How PlanOptix makes an impact.
Brokers — identify cost-effective providers to build targeted cost-containment programs.
Brokers — benchmark market position and differentiate in a crowded marketplace.
Brokers — negotiate better direct contracts and customize deals to win and retain.
Payers — identify high-quality, cost-effective providers to optimize care.
Payers — understand the competitive set and benchmark market position.
Payers — gain new market insights to inform and enhance periods of growth.
Employers — compare contract rates to identify optimal network partners.
Employers — curate and optimize networks to meet cost and access goals.
Make Transparency Data Work for You – Explore Our Platform
Transparency data is often complex and inconsistent. Try it in our platform to quickly see where real insight exists — so you can focus on controlling costs, improving decisions, and reducing manual effort.
Engaging insights.
Claritev insights, resources, and case studies.
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Five Shifts Reshaping TPA Cost Management
Our Executive Brief explores five shifts reshaping TPA cost management and what they could mean for TPAs looking to strengthen their role with employers.
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The Fountain of Youth in Healthcare is Fostering an Innovation Mindset
What keeps a 45-year-old healthcare company innovative in a rapidly changing market? Learn how strategic investment, operational agility, and actionable insights help organizations navigate…
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The Operational Value of Healthcare Pricing Intelligence
Healthcare transparency data offers significant potential, but turning it into actionable insights requires the right strategy. Learn how healthcare pricing intelligence helps organizations improve…
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How can PlanOptix help you enhance price transparency and bring new insights to light?
Learn how Claritev delivers the objective, market-driven insight you need to make the most complex decisions.