Frequently Asked Questions

About MacroHealth 

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

  MacroHealth’s mission is to make the buying and selling of healthcare simple and powerful. By bringing transformational intelligence to healthcare, MacroHealth enables more efficient and effective collaboration between healthcare Payers and Health Market Partners.

  7.2M+

  commercial members served

  6-8%

  reduction in the total cost of care

  300+

  enterprise clients

  45+

  Health Market Partners

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

  We connect our Health Market Partners, such as provider and specialty networks, pharmacy benefit managers, 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.

  With MacroHealth, you can:

  Be in the right place at the right time 

  Get early visibility into new opportunities, enter new Payer markets, and pursue contracts that were once out of reach.

  Seamlessly connect with Payers  

  Simplify and streamline the process of securing new Payer contracts, reducing integration complexity, and lowering acquisition and implementation costs.

  Go-live faster and reduce resource demand

  Streamlined implementation expands your team’s capacity, enabling you to act on more opportunities, sooner.

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 (MiX) platform?  

  The 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 with multiple Payers through one centralized point via 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 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.

  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 preestablished 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 Health Market Partners with curated business prospects rather than requiring them to find and pitch Payers independently.