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How It Works
Six steps to smarter healthcare procurement
Our methodology identifies savings opportunities and generates actionable procurement strategies across healthcare service categories.
Step 1
Data Inputs
Step 2
Price Normalization
Step 3
Market Mapping
Step 4
Provider Selection
Step 5
Savings Simulation
Step 6
Procurement Outputs
01
Data Inputs
Import claims summaries, spend data, or benchmark inputs. We work with what you have—claims-level detail enables the most precise analysis, but aggregated data works too.
- Claims-level data for maximum precision
- Aggregated spend summaries supported
- Secure data upload and processing
02
Price Normalization
Normalize commercial prices to Medicare multiples to create a comparable cost baseline. This reveals true price variation across providers and regions.
- Medicare rate benchmarking
- Cross-provider comparison
- Regional price variance analysis
03
Market Mapping
Map providers by cost efficiency across your employee geographies. Identify site-of-care opportunities and generate regional pricing distributions.
- Geographic provider mapping
- Cost efficiency scoring
- Site-of-care optimization
04
Provider Selection
Our engine identifies high-value providers based on cost efficiency, geography, network status, and volume capacity. Output: ranked preferred provider lists.
- Multi-factor provider scoring
- Network status verification
- Ranked provider lists
05
Savings Simulation
Model volume shift scenarios—5%, 10%, 25%—and quantify projected savings. See illustrative estimates before any implementation commitment.
- Multiple scenario modeling
- Volume shift projections
- Risk-free estimation
06
Procurement Outputs
Generate decision-ready deliverables: preferred provider lists by geography, executive summaries, broker presentations, and employee communication templates.
- Preferred provider lists
- Executive summaries
- Employee communications
Modules
One engine, multiple categories
The methodology applies across healthcare service categories.
Imaging
MRI, CT, X-ray, ultrasound, and more
Available nowLabs
Reference lab vs hospital lab pricing
Coming soonProcedures
Endoscopy, cardiology, orthopedics
Planned*All examples and figures shown are illustrative estimates for demonstration purposes. Actual results vary based on utilization, market conditions, and implementation.
Important: Provider recommendations are based on cost efficiency data relative to Medicare benchmarks and do not include clinical quality metrics, patient outcomes, or safety assessments. Plan fiduciaries should consider multiple factors when making benefit decisions. This platform provides data and analytics — it does not constitute medical, financial, or fiduciary advice.
Ready to see it in action?
Request a demo to explore how we can help your organization reduce healthcare spend.