By unifying data, partners, and insights in a single intelligent platform, the MacroHealth Intelligent Exchange™ (MiX) platform transforms fragmented systems into a connected ecosystem that delivers measurable impact.
The MiX 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.
Customers using the MiX platform have achieved a 6–8% reduction in the unit cost of care.
The MacroHealth Intelligent Health marketplace delivers transparency and strategic intelligence to over 7.2M members.
With deeper reporting tools, customers can compare claims, contracts, and performance metrics against national and local market data.
The MiX 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.
Simplify implementations with repeatable and consistent connections that improve onboarding timelines.
Deliver real-time estimates of member cost through Application Performance Interfaces (APIs) and embedded tools that are compliant with Machine-Readable Files (MRFs).
Eliminate the complexity of juggling integrations and management of multiple partners with one seamless solution.
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.
Centralized reporting and analytics help customers understand and monitor their plan performance, analyze trends, track outcomes, and oversee operations.
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.
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 benefit design.
Offer 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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The MacroHealth Intelligent Exchange platform leverages data science and industry-standard interoperability.
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