PAYERS

Real-World Intelligence for 
Value-Driven Health Plan Networks

PurpleLab gives payers the insights to plan strategically, manage networks, design contracts that align incentives, and ensure compliance with mandates—all while improving member outcomes and care efficiency.

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Optimize network
adequacy and
market performance
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Inform contracting and
provider management
with precision data
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Align access, quality,
and cost for
improved outcomes

See What You Can Do With PurpleLab

Data, Platform & Services
Marketplaces
 
Positioning and Benchmarking Provider Rates
Benchmark your contracted rates against competing payers. Compare provider service line offerings, utilization, and pricing to identify growth and improvement opportunities.
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Value Based Coding and Clinical Analytics
AI-enabled medical charts review to improve care management and quality metrics, while helping ensure accurate and complete coding.
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Referral Patterns and Leakage
Identify and quantify patient leakage at the procedure level. Pinpoint opportunities to intervene and curb out-of-network referrals and other lost-revenue drivers.
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Provider Profiling, Segmentation, and Benchmarking
Explore granular provider profiling by geography, affiliations, specialty, service lines, clinical volume activity, and more. Target providers enrolled in specific channels and subchannels to build stronger and more integrated networks. 
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Network Adequacy and Optimization
Optimize networks with insights into market demand, patient panel size, top-performing providers, and high-demand and/or underrepresented specialties. Optimize networks by benchmarking rates and analyzing service line performance across different markets.
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Outcomes, Risk and, Comparative Effectiveness
Explore member profiles at scale to understand real-world behaviors and healthcare journeys at the regional, state, and local level. Build risk stratification and population scoring models with robust real-world data and a flexible environment that is secure and scalable.
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Build Smarter Health Plan Networks

With PurpleLab on your preferred marketplace, payers gain access to comprehensive patient-level and provider-level data—accessing billions of cleanly structured medical and pharmaceutical claims, millions of validated provider and volumetric data. 

Activate PurpleLab’s data directly in your environment or with marketplace AI tools that facilitate insights into care navigation, network optimization, competitive intelligence, and new market opportunities.

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Helping teams move from data to decision, faster

Whether it's data, platform analytics, or consulting services, we help payer teams make informed, data-driven decisions. Evaluate network adequacy, assess provider performance, and manage compliance with confidence; use real-world insights that drive smarter strategies and measurable value across your plan.

Employers and health plans all want to see evidence that a digital MSK solution delivers better health outcomes, generates savings and improves productivity…Without real-world evidence, you can’t credibly demonstrate the value of your product. It’s a fundamental requirement….With PurpleLab data, we can assess the prevalence of MSK conditions in a particular population and set benchmarks to guide our GTM strategies.
Louie Lu
Principal Health Economist, Hinge Health

See What’s New at PurpleLab

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Articles : Provider-centric Data Unlocks Next-Level Success for Payers | PurpleLab®
How can payers adopt innovative approaches to plan design, utilizing provider-centric claims data, to meet a competitive market?
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News : PurpleLab Acquires KAID Health to Expand AI-Powered Healthcare Intelligence and Patient Journey Visibility | PurpleLab®
PurpleLab acquires KAID Health, combining real-world data with AI analytics to expand patient journey visibility and healthcare intelligence.
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Articles : New Data Investments Solidify Its Leadership As Industry’s Real-World Data Partner | PurpleLab®
PurpleLab® is making significant investments in its data and infrastructure to reinforce its position as a trusted leader in real-world data (RWD).
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News : PurpleLab and Payerset Partner to Deliver Trusted Price & Coverage Intelligence, Transforming Healthcare Decision-Making | PurpleLab®
PurpleLab, a leading healthcare analytics company with one of the largest claims databases in the US, joins the Network Advertising Initiative (NAI), the leading self-regulatory organization dedicated to responsible data collection and use in digital advertising.
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Discover What’s Possible with PurpleLab

From real-world data to real-world impact, we help healthcare and life sciences organizations move from insight to action, and drive the outcomes that matter.

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