Health systems, hospitals, and behavioral health providers
Margins are thin. Labor costs are high. Payers are consolidating and sophisticated. And after years of silence, consumers are asking what care costs. Negotiations that once relied on trust and history now turn to data, and too often, providers come to the table with data that is less current than what sits across from them.
Third Horizon stands with health systems, hospitals, and behavioral health providers who are done negotiating with inaccurate information. We bring the advisors, actuaries, and data to navigate a tougher market with clarity and confidence.
Strategy is not a deck, it's a sequence of decisions leaders must make, each with real consequences. Our advisors have worked alongside CFOs, service-line leaders, and hospital executives through the hardest of those decisions, helping them arrive at plans boards can support and operators can execute.
Before a risk contract is signed, a bundled payment is priced, or a service line is rebuilt, the math has to hold. Our actuaries and health services researchers help provider finance and strategy teams price real risk, forecast achievable volumes, and defend the numbers to the board.
Providers have data. They don't always have data they trust. Rates vary across payers. Codes collide. The story changes depending on the source. Starset Analytics brings it together. We clean, validate, and enhance price transparency data to create a trusted benchmark dataset that is delivered through subscriptions, APIs, and advisory support when you need it.
The pipeline is proprietary and the work is deliberate, transforming fragmented data into a trusted foundation. Through multi-stage ingestion, we clean and normalize the data into a schema aligned to external benchmarks, validate it with actuarial rigor using confidence scoring based on completeness and consistency, and enhance it with provider intelligence so it can be interpreted and applied across networks and care settings.
This is decision-grade data built for finance, contracting, and strategy teams who need numbers that hold up.
A multi-site academic behavioral health system came to Third Horizon to build payer-specific benchmarks for high-volume inpatient and outpatient services. We anchored rates to peer, market, and claims-based benchmarks. We built a negotiation-ready rate book by payer and service line, and delivered a contracting strategy. The work uncovered systematic underpayment for non-physician services despite parity for physicians — and identified $22 million in annual revenue opportunity through market per diem benchmarks.
If you represent a health system, a hospital, or a behavioral health provider trying to build something durable, we can help.
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