Data Solutions
Third Horizon's data solutions are powered by the Starset Analytics platform, a proprietary health care intelligence data system.
Starset takes the massive pricing files that insurance companies and hospitals are now required to publish under federal price transparency mandates, and makes them actually usable. By integrating billions of claims, provider directories, episode grouping logic, and AI-powered querying, the platform delivers a unified, decision-ready view accessible through APIs, subscriptions, and embedded advisory for reimbursement intelligence, behavioral health pricing, and network cost analytics.
×Price Transparency Data-as-a-Service
Starset Data Service
The federal price transparency requirements produced an unprecedented volume of negotiated rate disclosures — but volume is not the same as usability. The Starset Data Service turns raw transparency files into a validated, queryable dataset that payers, providers, and employers can use directly in benchmarking and pricing decisions.
KEY FEATURES
- National dataset of commercial payer-provider contracted negotiated rates, cleaned and validated through a multi-stage proprietary pipeline leveraging hospital machine-readable files, claims and provider data
- Inpatient coverage across all active MS-DRG codes; outpatient coverage spanning the top CPT/HCPCS codes representing 95% of typical employer spend
- Actuarial validation assigning confidence ratings based on standard deviation from claims benchmarks, payer consistency, and statistical convergence
- Provider-level enrichment including provider type and place of service filtering, provider specialty, and affiliations
- Data traceability, surfacing the metadata behind every rate so validity can be assessed at the point of use, not just asserted upstream.
What the Data Helps Clients Answer
- How do negotiated rates compare across payers, providers, and service lines?
- How much do rates vary for the same service in the same market?
- Where is pricing advantage being gained or lost — and by whom?
- Where are rates rising or falling, and how is the market shifting?
- Which service lines or markets present the strongest opportunity for your goals?
×Behavioral Health Pricing Analytics
Starset Behavioral Health
Behavioral health providers are systematically underpaid relative to the value they create — and the data to prove it hasn't existed. Starset Behavioral Health changes that. By surfacing payer-reported rates disclosed under the federal price transparency mandate, it reveals what commercial plans actually pay — the evidence providers need to negotiate and advocate from a position of strength.
KEY FEATURES
- Curated behavioral health reimbursement datasets that benchmark your commercial rates against validated market baselines, industry standards, and peer competitor rates across major payer networks — cut market by market, by service type, and provider category
- Parity analytics measuring quantitative differences in how health plans cover reimbursement and access in behavioral health versus medical/surgical services
- Support for advocacy, contract negotiation, and regulatory compliance
What the Data Helps Clients Answer
- How do negotiated rates compare across payers, providers, and service lines?
- How much do rates vary for the same service in the same market?
- Where is pricing advantage being gained or lost — and by whom?
- What service codes are other providers billing for that should be considered for inclusion in contracts?
- Which service lines and markets present the strongest opportunity for the organization's goals?
×Network Cost Analytics
Starset Clarity
Traditional network management is built on blind spots. Health plans compare providers only within their own networks and analyze individual claim lines in isolation. Starset Clarity replaces those blind spots with episode-grouped, market-aware, AI-assisted cost intelligence.
KEY FEATURES
- Episode-based cost normalization using the PACES episode grouper to create clinically homogeneous comparisons that capture both price and utilization
- Payer competitiveness intelligence integrating price transparency data from major payers and providers, mapped to episode components
- Natural language query interface: ask “which providers have episode costs significantly above market?” and get an answer in seconds
- Actionable output: ranked opportunity lists quantified by savings potential, with detailed cost breakdowns and market comparisons
What the Data Helps Clients Answer
- Which of our network providers have episode costs significantly above market, and by how much?
- How do episode costs vary by site of care?
- How do competitor and peer payer rates compare to ours for the same clinical episodes?
- Where are our biggest savings opportunities, ranked by dollar impact across providers, episodes, and payers?
- How do our providers' practice patterns stack up against benchmarks drawn from hundreds of millions of commercial claims?
Explore the Data Behind the Decisions
Third Horizon's platform solutions scale from single-solution subscriptions to enterprise-wide deployments embedded in advisory engagements. Whether you need validated data to strengthen a negotiation, evidence to support a policy position, or intelligence infrastructure to power your own analytics, we built Starset to meet you where you are.
Start a Conversation