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 Intelligent Exchange™ (MiX) 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 MiX 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
MacroHealth’s actionable and real-time data gives Providence Health Plan a competitive edge with prospective member groups…
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Make more confident, data-backed decisions by incorporating MacroHealth’s innovative capabilities.
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