A renewal arrives with the carrier’s numbers. The plan should be judged on the market’s.
Medlyze provides what hospitals and payers in your markets have published for the services your employees use, by provider and payer, each with its source: the benchmark for carrier selection, reference-based pricing and steerage.
Use it to select or renew a carrier, set a reference-based price, steer to lower-cost providers, or explain a benefits number to leadership.
Send your markets and the carriers under consideration. You get published rates for the services that drive spend, within 24 hours.
What changes when the decision is made on the rate of record.
Four payers, four medians, one code. Your markets come in the same view.
Real published commercial rates for New York, by payer and hospital. Your markets and services come in the same record.
Dot = median · thin line = lowest to highest rate · shaded bar = middle half of a payer’s providers
Market benchmark
Published rates for the services that drive your spend, by provider and payer, in your markets.
Carrier comparison
What each carrier pays the same providers for the same services.
A report leadership can read
The benchmark as a finished report, built on the same record.
Benefits analytics →We are self-funded.
Then you have the most room to act on it: direct contracting, reference-based pricing and steerage all start from the same published rates.
Can our broker or consultant use it?
Yes. The record is one set of numbers with sources; they can work from it with you.
Where do the rates come from?
From the price transparency files hospitals publish and the negotiated-rate files payers publish, matched and checked, with Medicare for reference.