Employer Rate Intelligence
Deliver CFO-ready benchmarking reports that show exactly how much your employer clients are overpaying — and the specific actions to fix it.
Built on CMS Transparency in Coverage machine-readable files — the same legally mandated data payers publish. Every finding is defensible, every number is real.
Rate Percentile Benchmarking
See exactly where your client's plan sits — 68th percentile means they pay more than 68% of comparable employers for the same procedures at the same hospitals.
Hospital-Level Rate Heatmap
Compare negotiated rates facility by facility across all in-network NPIs. Surface the specific hospitals and codes driving overpayment.
Payer Comparison at Renewal
Run a side-by-side comparison of alternative carriers on the same utilization pattern. Quantify the savings from switching before the renewal conversation.
Print-Ready Client Reports
Deliver a branded, multi-section PDF report — executive summary, procedure table, hospital heatmap, payer comparison, and action plan. Ready for the CFO meeting.
Actionable Savings Roadmap
Every report includes a prioritized action plan — renegotiation targets, steerage opportunities, and regulatory levers (CAA Section 202 disclosure rights).
Defensible CMS-Sourced Data
All benchmarks are derived from CMS TiC machine-readable files — the same data payers are legally required to publish. Every finding can be traced back to the source.
See an actual employer rate benchmarking report
A 4-page, CFO-ready analysis for a 487-employee self-insured manufacturer in Dallas–Fort Worth. Covers 25 procedure codes, 3 hospitals, and 2 payer alternatives — with $312,400 in identified overpayment across 25 benchmarked codes.
How It Works
From employer EIN to a client-ready report in minutes — not weeks.
Employer inputs
Provide EIN, geography (CBSA), payer, and employee count
Rate resolution
We match the employer's plan to payer MRFs and resolve negotiated rates at each NPI
Market benchmarking
Rates are ranked against 100+ comparable group plans in the same geography
Report delivered
Branded PDF with executive summary, procedure table, hospital heatmap, and action plan
The data is public. The analysis is yours to deliver.
CMS mandates payer transparency data. Most brokers don't use it. Medlyze turns that raw data into a differentiator you can put in front of every CFO, every renewal cycle.