AnaCare analyzes insurer-negotiated rates and hospital transparency data to identify the lowest-cost surgical care — in-network, at the best facility, every time.
When a surgery is scheduled, no one is shopping the market. The same procedure can cost 3–5× more at one facility versus another across the street, and the plan absorbs the delta.
Hospital transparency files and insurer negotiated-rate files are massive, inconsistent, and buried. Teams cannot act on raw data, so decisions default to legacy networks.
High-cost surgical episodes drive your book's largest lines. Without intervention at the point of referral, the leakage shows up in renewals you cannot explain.
Enter a procedure, a location, and a member's plan. AnaCare returns a ranked list of in-network facilities with full episode cost — surgery, rehab, medication — plus quality signals.
Procedure, location, member plan. One search triggers the pricing engine.
We pull insurer contracts, hospital transparency files, and quality data into a unified index.
The model scores facilities by total episode cost and quality, surfacing the lowest-cost in-network match.
Your team redirects members before the surgery is booked. The savings hit the claim, not the renewal.