MultiPlan operates regional preferred provider organization (PPO) networks that deliver healthcare cost management solutions through negotiated rates and provider access. The company reduces healthcare expenses for payers and patients by optimizing provider networks and enhancing cost transparency.
Funding
$4.5B raised to dateRaised to date based on public sources. This may differ from the amount the company actually raised and is based only on what is publicly available on the internet.
Founders
Product
Problem
Healthcare payers and patients face challenges in managing costs due to lack of transparency in out-of-network claims and the complexities of negotiating fair reimbursement rates. Inefficient payment processes and improper billing practices further contribute to increased expenses and administrative burdens.
Solution
MultiPlan provides a suite of cost management solutions designed to reduce healthcare expenses for payers and patients. The company operates regional preferred provider organization (PPO) networks, offering access to negotiated rates and a broad network of providers. MultiPlan's services include analytics-based tools for identifying fair reimbursement rates for out-of-network claims, data-driven insights for optimizing plan design, and payment and revenue integrity solutions to prevent improper billing. Additionally, MultiPlan streamlines electronic provider payment processing and assists payers in meeting No Surprises Act (NSA) compliance requirements.
Target Audience
MultiPlan serves healthcare payers, including commercial, property and casualty, and government organizations, as well as healthcare providers and health plan members.
Features
- Extensive PPO network with 1.4 million contracted providers
- Analytics-based services for identifying and negotiating fair out-of-network claim reimbursements
- Data & Decision Science services delivering actionable insights for plan design optimization
- Payment & Revenue Integrity services to prevent and correct improper billing
- MultiPlan Payments for simplified and streamlined electronic provider payment processing
- Surprise Billing Services to meet NSA compliance requirements
- Self-service tools for payers to manage their accounts