Regional health plans, third-party administrators, and employer-sponsored programs
Competition is national. Expectations are local. The other side of the negotiating table now comes armed with data, and legacy approaches — trended claims, anecdotes, and consultant slides — no longer suffice. Medical costs are rising, network decisions are scrutinized, and every contract and benefit design must stand up from launch through renewal.
Third Horizon gives payers the math, market intelligence, and operational know-how to negotiate more effectively, design sharper strategies, and spend with greater confidence.
Our advisors have worked inside health plans, not just around them. We help payer leaders design value-based products, rethink network strategy, stand up new lines of business, and translate a cost-containment idea into a workflow a front-line team can actually run.
Before a rate is filed, before a product is priced, before a contract is signed, someone has to do the math. Our actuaries and health services researchers translate claims data, population insights, regulatory constraints, and uncertainty into numbers leaders can confidently stand behind with boards, regulators, and the market.
Payers often lack visibility into what competitors pay providers. Starset Analytics changes that by transforming machine-readable disclosures into a clean, validated, and enriched benchmark dataset. The result: a defensible, market-specific view that strengthens every negotiation.
If you are a regional health plan, a TPA, or an employer-sponsored program looking for a sharper analytical edge, we can help.
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