Third-party administrators (TPAs) play a critical role in enabling smarter plan design for clients and demonstrating bottom lines are well-protected, all while delivering competitive employer offerings. The MacroHealth Intelligent Exchange™ (MiX) platform gives TPAs the tools to offer a more sophisticated, data-driven experience to employers.
Contact Us to Learn MoreThe MiX platform helps TPAs reduce cost per claim while guiding members toward high-value care with real-time cost estimates and tiered provider displays. This enables TPAs to deliver unified, intuitive search and selection experiences that align with employer priorities.
BENEFITS
Explore a marketplace platform designed to help TPAs optimize their strategies and costs.
With optimization analytics and aggregate claims intelligence, TPAs can compare provider performance, evaluate cost drivers, and recommend benefit configurations.
Deliver seamless provider search and pricing transparency experiences that reflect plan-specific design and steer members toward the highest-quality, lowest-cost care available.
Replace fragmented point solutions with a single platform for medical and pharmacy pricing intelligence.
Compete more effectively through improved network performance, a vast ecosystem of connected vendors, and next-level analytics to help select the best-fit partner for each employer and group.
Member-facing price transparency tools enable TPAs to boost member satisfaction and reduce out-of-network spend through smarter guidance, all while staying compliant without reconfiguring your tech stack.
Complement this with a seamless provider search experience with real-time cost estimates and quality scores – while offering configurable tiered and preferred provider displays that help steer members toward high-value care options aligned with your employer benefit strategies.
Integrate pharmacy insights into overall plan design with tools for pharmacy benefit manager (PBM) contract oversight, support for specialty drug strategies, and cross-benefit coordination. Use aggregated claims intelligence to evaluate cost drivers and strengthen employer value propositions.
“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.”
Brad GarriguesChief Growth Officer
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
Brochure
MacroHealth has built a multi-sided platform to modernize the healthcare marketplace by providing Payers with the ability to…
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Infographic
See what healthcare could be if Payers broke free of the constraints of siloed, legacy technologies and created something new.
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Podcast
In this episode of the Becker’s Healthcare Podcast, host Lukas Voss is joined by Aarti Karamchandani, Chief Growth Officer at MacroHealth, …
Learn MoreExplore a unified platform that helps you evaluate and connect with your optimal Health Market Partners.
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Witness data-driven healthcare transformation firsthand. Request exclusive access to the MiX Platform Demo video now.