OVERVIEW

Price transparency solutions to exceed mandates

For over 15 years, we’ve helped health plans, self-insured employers, and benefits advisors stay true to the mission of healthcare price transparency with a trusted online shopping tool and unmatched regulatory support.

Promote informed decision-making

Arm members with a consumer-friendly tool that delivers accurate out-of-pocket cost estimates, such as deductibles and health insurance costs, based on real-time benefit information.

Comply with regulations

Meet price transparency requirements, including the Consolidated Appropriations Act and Transparency in Coverage rule, and facilitate comparison shopping for healthcare consumers.

Go beyond the mandates

Combine the power of claims data with negotiated rates from machine readable files to fill data gaps, improve member ease of use, and increase user understanding of healthcare cost complexities.

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Image of Merative Treatment Cost calculator showing cost estimates for a healthcare service

Present shoppable services and maintain compliance

  • Self-service, price comparison tool to better engage members and meet industry compliance requirements
  • Data management services to build and leverage Machine Readable Files
  • Flexible consumption models with a web-based application and API option

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Personalized to each member’s needs

  • Search for and compare estimates for services by location, physician, and facility
  • Generate estimates using both MRF published data and individual’s claims data
  • Integrate service selection with relevant health education content

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>40

Years supporting payers in assessing price variation with deep analytic roots

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29M+

Members use Treatment Cost Calculator to understand treatment pricing information and healthcare services estimates

16

Years of experience with healthcare price transparency tools

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RESOURCES

Dive deeper into Treatment Cost Calculator

CASE STUDY

From transparency to provider rate restructuring

Learn how Sentara Health Plans used Treatment Cost Calculator to provide personalized information, making shopping for healthcare services easy.

https://main--merative2--hlxsites.aem.page/documents/case-study/shoppable-services-with-treatment-cost-calculator

DEMO

Dive in and try the tool yourself

In just a few clicks, see how members can explore healthcare services and facilities to gain accurate estimates for what their out-of-pocket costs may be.

https://main--merative2--hlxsites.aem.page/offers/treatment-cost-calculator-demo

SOLUTION BRIEF

Our approach to price transparency

Explore the various ways we help health insurance issuers go beyond the mandates to improve the consumer experience.

https://main--merative2--hlxsites.hlx.page/documents/brief/treatment-cost-calculator-price-transparency-brief
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Work with an expert

Our team is ready to answer your questions. Let’s make smarter health ecosystems, together.

Let's talk

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