HOW IT WORKS

One Platform to Power
Your Entire Ecosystem

By unifying data, partners, and insights in a single intelligent platform, the MacroHealth Marketplace Platform transforms fragmented systems into a connected ecosystem that helps
you deliver measurable impact to your members.

A Marketplace Platform Built to Optimize and Connect Healthcare

Turn Insights into Measurable Impact

The MacroHealth Marketplace Platform helps Payers and Health Market Partners turn complex data into actionable intelligence that reduces waste, controls costs, and improves performance.

With unified visibility into medical and pharmacy spend, you can address inefficiencies and stay prepared for evolving market opportunities that support you in offering improved member-facing experiences.

Reduce Total Healthcare Spend

Customers using the MacroHealth Marketplace Platform have achieved an average 6–8% reduction in the unit cost of care.

Join a Robust Community of Members

The MacroHealth Marketplace Platform delivers transparency and strategic intelligence to over 7.2M+ members.

Stay Ahead of Market Shifts

With deeper reporting tools, customers can compare claims, contracts, and performance metrics against national and local market data.

Unify Partners and Data on One Secure Platform

The MacroHealth Marketplace Platform brings the power of data-driven connection to healthcare, enabling Payers to connect to their entire ecosystem of preferred partners through a single, secure, cloud-based software platform.

This provides the flexibility needed to integrate with Health Market Partners, drive down the cost of system integration and maintenance, and deliver richer, actionable data.

Streamline Integration and Onboarding

Simplify implementations with repeatable and consistent connections that improve onboarding timelines.

Ensure Transparency and Control

Deliver real-time estimates of member cost through Application Performance Interfaces (APIs) and embedded tools that are compliant with Machine-Readable Files (MRFs).

Simplify with a Scalable Platform

Eliminate the complexity of juggling integrations and management of multiple partners with one seamless solution.

PLATFORM FEATURESInstant Visibility into the Connections and Insights
that Matter Most

  • Customer Portal

    Access your organization’s data with ease and turn insights into action, proactively manage claim operations, and identify new optimization opportunities while ensuring program performance.

  • On-Demand Reporting

    Centralized reporting and analytics help customers understand and monitor their plan performance, analyze trends, track outcomes, and oversee operations.

  • Data Connections

    Connect to regional, national, and out-of-network vendors via a single integration point. Repeatable, standards-based workflows and transparent Health Market Partner performance data also streamlines network decisions for Payers.

PLATFORM TOOLS

Integrated Intelligence, Delivered in One Connected Platform

Our Member Care and Cost Search Tool offers:

Price Transparency

Deliver MRF-compliant, member-facing tools that meet regulations and actively support cost containment and member engagement.

Real-time, member-specific cost estimates are powered by API-based integrations with accumulator data, while tiering and quality overlays help guide members toward high-value options that align with your unique benefit design.

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Provider Search

Offer your members a unified, intuitive provider search experience with category filtering, quality scores, and dynamic comparison tools.

Create preferred or tiered options that support your network strategy, and steer members toward high-value choices.

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Resources

MacroHealth Overview Brochure

Brochure

MacroHealth Overview Brochure

Together with our Payers and Health Market Partners, MacroHealth has built a multi-sided platform to modernize the healthcare marketplace b…

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Customer Portal

One Pager

Customer Portal

Explore how you can unlock growth and maximize efficiency by utilizing data-driven tools and insights.

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Member Care and Cost Search Solutions 

One Pager

Member Care and Cost Search Solutions 

Discover the unified, data-driven solution needed to improve the member journey, while ensuring compliance and steering members to the high…

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Ready to Get Started?

Discover how the MacroHealth Marketplace Platform transforms fragmented systems into a connected, high-performance marketplace.

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