COMPANY Why MacroHealth?
Founded in 2017, MacroHealth is a first-of-its-kind healthcare ecosystem where every stakeholder can see, decide, and act with clarity.
Through the MacroHealth Marketplace Platform, Payers and Health Market Partners alike can operate with transparency and efficiency, creating stronger connections and delivering value at scale.
What Sets MacroHealth Apart
Through the MacroHealth Marketplace Platform, MacroHealth seamlessly connects healthcare buyers to their entire ecosystem of providers
and health solutions partners through one integrated platform – creating efficiency for buyers and new revenue opportunities for sellers.
For the first time, the entire healthcare ecosystem gets a holistic view of real-time data, intelligence, and transparent pricing information,
unlocking performance and better outcomes.
MacroHealth’s platform uses advanced AI and machine learning (ML) technologies to automatically recognize ongoing trends in customer
performance data, then recommends specific ways to optimize the healthcare marketplace.
Data-Driven Optimization
- Compare performance of Health Market Partners using aggregated claims intelligence and outcome-based metrics.
- Identify optimal partner configurations that improve access, cost,
and quality. - Benchmark against national and regional data down to provider, DRG/CPT, and claim level.
Seamless Connectivity
- Connect to national, regional, and out-of-network vendors via a single platform.
- Eliminate costly custom electronic data interchange (EDI) connections with repeatable, standards-based workflows.
- Streamline network decisions via easy-to-access partner performance data.
Transparency and Control
- Deliver real-time member cost estimates through Application Performance Interfaces (APIs) and embedded tools that are Machine-Readable File (MRF) compliant.
- Tiered networks and transparent provider options help members make smarter decisions.
- Configure branded, transparent member portals that build trust and reduce surprises.
Proven Results
Case Study UHA Health Insurance
UHA Health Insurance, based in Honolulu, Hawaii, sought guidance in their search for a more comprehensive mainland network solution.
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Case Study Providence Health Plan
Providence Health Plan, based in Portland, Oregon, sought guidance on their network expansion strategy to achieve their growth objectives.
Read Full Case StudyTestimonials
“We approached MacroHealth for a simple solution to optimize our net profits and are pleased with the favorable results we have received for both gross and net savings. Also, their team is professional, responsive, and easy to work with. If you are looking to optimize your offerings, ask for MacroHealth, they deliver!”
Valérie LocteauDirectrice Principale Assistance Médicale Voyage
Senior Director Travel Medical Assistance
“MacroHealth has helped UHA to offer a robust, high-quality network of physicians and hospitals for our members while they are away from Hawaii. We are pleased to work together with MacroHealth in this effort to offer a simpler and easier experience to our members.”
UHA Health Insurance
“MacroHealth’s actionable and real-time data gives Providence Health Plan a competitive edge with prospective member groups. Through our collaboration with MacroHealth, we’ve seen significant reductions to the level of effort needed to operationalize and connect to network and pricing solutions.”
Providence Health Plan
“MacroHealth is an easy company to work with. They have great people who understand our business and work collaboratively to help us achieve our goals. I highly recommend using MacroHealth for your savings needs in the US.”
Taka KatsubeCost Management and Medical Assistance Director
TuGo
“When we selected our new national network, Aetna Signature Administrators, it was critical that we find a partner like MacroHealth who could help us navigate the implementation process and necessary data exchanges. Throughout the implementation process, MacroHealth quickly surfaced, analyzed, and organized a complex and encompassing set of needed requirements. Their expertise helped us keep momentum and led to a smooth rollout. We’re pleased to welcome them as a long-term partner.”
Tony Kopki Vice President of Commercial Programs
PacificSource Health Plans
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Make more confident, data-backed decisions by incorporating MacroHealth’s innovative capabilities.
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