Frequently Asked Questions

About MacroHealth 

• What is MacroHealth’s mission and vision for the healthcare industry?

  MacroHealth’s mission is to create Intelligent Health Markets. By bringing transformational intelligence to healthcare, MacroHealth enables more efficient and effective collaboration between healthcare Payers and Health Market Partners.

  2.8M

  commercial members
  served

  16%

  avg. reduction in customers’ annual healthcare spend

  $2B

  annual healthcare transaction flowing through our platform

• How does MacroHealth support Health Market Partners in achieving success?

  We connect our Health Market Partners, such as provider networks, specialty networks, cost-containment vendors, and more, with Payers through our Intelligent Health Market as a Service platform.  
  
  By leveraging advanced technology, we support Health Market Partners in selling their solutions to Payers, improving interoperability, and increasing operational efficiency. This approach creates a dynamic, healthy marketplace that supports better cost management. 

  Be in the right place at the right time 

  Access new opportunities as they arise, enter new Payer markets, or engage with Payer contracts that might have seemed too complex to pursue previously.  

  Seamlessly connect with Payers  

  Simplify the process of obtaining new Payer contracts with easy integration and lower customer acquisition and implementation costs over time. 

  Go-live sooner & reduce resource demand 

  Expand your team’s bandwidth through streamlined implementation processes, allowing you to capitalize on a greater volume of opportunities faster.  

About Intelligent Health Markets

• What defines an Intelligent Health Market, and why is it relevant to Health Market Partners?

  An Intelligent Health Market is an optimized and connected healthcare ecosystem powered by advanced technology and data science. It enables seamless connections between Health Market Partners and Payers, offering transparency, efficiency, and optimized financial opportunities. 

• How does an Intelligent Health Market address challenges faced by Health Market Partners?

  An Intelligent Health Market addresses challenges faced by Health Market Partners by streamlining the connection with multiple Payers through a single integrated platform. By centralizing Payer opportunities, an Intelligent Health Market removes the friction of one-off projects and slow implementation timelines. 

  This allows Health Market Partners to efficiently access new opportunities, reduce the time spent on contracting and data integration, and ensure ongoing operational efficiency. Ultimately, it fosters faster, more frequent go-lives and supports sustained growth by aligning Health Market Partners with Payer opportunities. 

  It can also help ensure adherence to regulatory standards. By complying with evolving regulations, Health Market Partners can maintain trust and sustainability, further solidifying their role in shaping a dynamic, compliant healthcare marketplace. 

  

About the MacroHealth Intelligent Exchange^™ Platform

• What is the MacroHealth Intelligent Exchange platform? 

  The MacroHealth Intelligent Exchange (MiX) platform is a cloud-based Intelligent Health Market as a Service solution that enables Health Market Partners to seamlessly connect with Payers through a data-driven ecosystem.  

  The platform consists of two core components: 

  • Optimize: Provides Health Market Partners with access to new best-fit Payers through data-driven optimization analytics, simplifying the process of obtaining new Payer contracts and lowering customer acquisition costs over time.
  • Connect: Enables Health Market Partners to connect to multiple Payers with one connection to the MiX platform, while adhering to the standards, protocols, data formats and transformations required by each party. 

The Benefits of Partnering with MacroHealth

• What resources does MacroHealth provide to Health Market Partners on the platform?

  MacroHealth supports Health Market Partners with tools and services via the MacroHealth Intelligent Exchange (MiX) platform, including advanced analytics, the opportunity for bundled portfolio optimization, and guidance for navigating Payer relationships. These resources ensure Health Market Partners can fully leverage the MiX platform for sustained success, including pursuing a higher volume of newer and larger opportunities. 

  Gain Greater Exposure to Top-Tier Payers

  Open an Efficient Channel to New Membership

  Accelerate Speed 
to Revenue

  Through the MiX platform, Health Market Partners benefit from: 

  • Facilitated connectivity: MacroHealth manages all Payer connectivity requirements, including data routing and operational setup, reducing the need for resource-intensive IT projects on the partner’s end. 

  • Accelerated go-live timelines: With pre-established data specifications and existing integrations, Health Market Partners can focus primarily on testing, allowing them to go live with Payers more quickly and efficiently. 

  • Payer opportunity delivery: MacroHealth identifies and vets Payer opportunities, providing Partners with curated business prospects rather than requiring them to find and pitch Payers independently.