Reduce Costs. Improve Quality. Save Analyst Time.
Identify lowest-cost, highest-quality providers 80% faster. Reduce unit cost variation. Save network teams 20+ hours per week on analysis and reporting.
Why Health Insurers Choose Medlyze
✓Reduce unit costs and identify lowest-cost, highest-quality providers 80% faster
✓Save network teams 20+ hours per week on benchmarking, outlier detection, and reporting
✓Improve MLR performance with data-driven contracting and provider network optimization
Solutions for Health Insurers
Market Data Insights
Maximize revenue, reduce unit costs, and save teams 15+ hours per week with price transparency and benchmarking that pays for itself.
Value-Based Care Operations
Protect margin and reduce total cost of care with operational intelligence that improves outcomes and reduces avoidable utilization.
APIs for Data Integration
Save engineering time by 80% and ship pricing intelligence faster with reliable APIs that eliminate data headaches.
Free Resources for Health Insurers
TiC Payer Quality Ratings
Comprehensive payer quality data and downloadable reports
View RatingsLearn More: Free Implementation Guides
In-depth guides to help you understand the strategies behind these solutions
What Our Clients Say
“Before working with Medlyze, we were struggling through payer negotiations with no visibility in market rates and little leverage to improve our low reimbursement rates. Medlyze provided the exact support we needed by exposing competitor rates and delivering a clear contract negotiation strategy, finally giving us the data to align our approach. Now, we are positioned to increase our rates with our current payer and have a replicable strategy for future contracts with companies like Cigna.”
Urology Practice Owner
Owner, Colorado Urology Practice
“This is Gold!”
Actuary
Actuary, BCBS Plan
“We thought our RCM team was doing a great job, and they were. But Medlyze found $1.8M in underpayments we'd completely missed. It's like having a forensic auditor who only gets paid when they find money. Zero risk for us, pure upside.”
CFO
Chief Financial Officer, Regional Hospital System
Frequently Asked Questions
Medlyze helps you identify high-cost outliers in your network, benchmark rates against competitors, and make data-driven network design decisions. Our platform provides cross-payer rate comparisons by market, specialty, and CPT code to optimize your network spend while maintaining quality.
Ready to Maximize Revenue, Reduce Costs, and Save Time?
See how Medlyze delivers measurable ROI for health insurers in 90 days or less