Understand the Market.Act with Confidence.

Market intelligence, contract modeling, and claims analysis for the people navigating healthcare prices. We help consultants, payers, and providers achieve savings and grow revenue.

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Network Comparison

Modeled against $10.2MM current spend

Regional HPN

Lowest

-14.2%

-$1.45MM annual spend

88%Population
covered

Cheapest, narrower access

National Open Access

+2.1%

+$0.21MM annual spend

100%Population
covered

Holds access, costs more

Broad PPO

+5.8%

+$0.59MM annual spend

100%Population
covered

Holds access, most expensive

Hospital Rate Comparison — Inpatient

Dollar per DRG Weight · 23 hospitals, one market

2.1× spread
$24K$20K$16K$12K$8K
Lowest $10.4KMarket median $18.2KHighest $22.1K
OUTCOME SNAPSHOT
$0MM+
New business supported
0%
More savings identified
(than competing tools)
$0MM+
Marginal revenue supported
$0B
Identified network savings opportunities
PRODUCTS

Understand the market, strategize, and track performance.

Gain comprehensive visibility into provider networks, service pricing, unit pricing, and competitive positioning across the market.

Market Intelligence

Negotiated rates by market, network, and facility — with claims grouped into true units so every comparison is apples to apples, priced against Medicare and the market benchmark.

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Contract Modeling and Claims Pricing

Price real claims under a contract’s own payment logic — case rate, per diem, percent of charge, carveouts — and see what a proposal is worth before you sign it.

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Network comparison

Every network in a market, priced against how broad it is

Price
HigherLower
NarrowBroad
Network breadth

Contract scenario

OPPS Conversion & DRG Weight Change

Next 12 months

  • Outpatient−5.6%
  • Inpatient+11.3%
  • Physician Organization+2.1%
Net change+$20.0M

+1.1% on $1840M

WHY CAREIGNITION

More context. More accuracy. More opportunity.

Context

The platform understands networks, service billing, and pricing mechanics — so what comes back is an answer to your question, not a pile of raw data.

Accuracy

We price real claims against transparency data to simulate how a contract actually pays — so the number you see reflects what gets reimbursed, not a puzzle with pieces missing.

Coverage

More networks, clearly defined — and simulated claims payments to fill the gaps the data leaves behind. That means 50% more comparable hospital pricing information, and more savings and opportunity found.

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ContextAccuracy
More Context.
More Accuracy.
More Opportunity.
WHO WE SERVE

Built for the people who buy and sell healthcare services.

Benefits Consultants

Win and retain business with stronger network recommendations and clearer market insight.

Payers

Build and maintain competitive networks with clearer pricing and market information.

Providers

Optimize pricing, contract terms, and contract compliance to support sustainable profitability.

Three seats at the table

  • Benefits Consultants

    Win and protect business

    $500MM+

    of client business won and retained

  • Payers

    Generate savings

    $3B

    in identified network savings opportunities

  • Providers

    Grow profitability and revenue

    $25MM

    increase over one engagement

Ready to understand the market?

See how Careignition helps you make faster, more confident decisions with real pricing data.

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