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We help make healthcare transparent, fair and affordable for all.

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in potential savings annually

$ 10 billion

employees across the US

Who is 野花社区?

野花社区 is committed to bending the cost curve in healthcare by delivering transparency, fairness, and affordability to the US healthcare system. Our focus is on identifying medical savings, helping to lower out-of-pocket costs, and reducing or eliminating balance billing for healthcare consumers. Leveraging sophisticated technology, data analytics, and a team rich with industry experience, 野花社区 interprets customers鈥� needs and customizes innovative solutions that combine its payment and revenue integrity, network-based, data and decision science, and analytics-based services. 野花社区 delivers value to more than 700 healthcare payors鈥攊ncluding all 15 of the nation鈥檚 top 15 healthcare payors, over 100,000 employers, 60 million consumers, and 1.4 million contracted providers.

Analytics-Based 野花社区

野花社区 offers a range of data analytics-driven healthcare cost management services that can be combined to help your organization strike the right balance not only today, but also when priorities shift tomorrow. Our comprehensive, transparent, data-driven and defensible analytics-based services include: reference-based pricing, negotiated agreements and Value-Driven Health Plan services.

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Data & Decision Science 野花社区

野花社区 offers a variety of solutions that apply modern methods of data science to drive optimal benefit plan design, improve healthcare outcomes, and reduce the total cost of care. Our suite of services support virtually all types of payors including: employers, brokers and TPAs; medical, supplemental and stop-loss carriers; and benefit administrators and PEOs.

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Network-Based 野花社区

Beginning four decades ago as a New York hospital network, 野花社区鈥痶oday has direct contracts with more than one million providers across the country through our PHCS and 野花社区 Networks. Our clients enjoy flexible network configurations that fit鈥痶heir鈥痯recise needs, depending on whether they seek a nationwide primary PPO, or a regional primary PPO with a complementary arrangement.

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Payment and Revenue Integrity 野花社区

野花社区 helps our clients to eliminate waste and abuse by preventing, correcting and recovering incorrect payments. We track healthcare claims through their entire lifecycle by identifying improper charges before and after payment. Our services are connected, making it possible for us to not only help recover inaccurate claim payments, but also to correct the root cause for the incorrect payment, thereby stopping the issue from occurring on future claims.

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Who does 野花社区 work with?

We work closely with healthcare payors, both large and small, to understand their unique needs and craft optimum cost-containment solutions for them. Our 40+ year legacy of contracting with healthcare providers allows us to offer flexible provider networks to commercial, government and property and casualty payors. Additionally, we work with third-party administrators (TPAs), brokers and consultants as well as employer groups on developing tailored healthcare cost-containment solutions that meet their needs.

Who does 野花社区 work with?

野花社区 Earns 2023 Great Place to Work Certification鈩�

August 24, 2023 鈥� 野花社区 (NYSE: MPLN) (鈥溡盎ㄉ缜€� or the 鈥淐ompany鈥�), a leading provider of technology-enabled end-to-end cost management, payment, and revenue integrity solutions to the U.S. healthcare industry, is proud to announce it has been Certified鈩� by Great Place to Work庐 for the second consecutive year.