Gigasheet Launches AI-Powered Price Intelligence Platform for Health Plans

WASHINGTON - EntSun -- Healthcare price transparency data has been publicly available since 2022, but the sheer volume and complexity of machine-readable files have kept most health plans from turning it into anything useful. Gigasheet launches Price Transparency Explorer, an AI-powered analytics platform that makes that data actually usable, surfacing competitive rate intelligence, network development insights, and self-insurance sales tools within one intuitive interface.

Competitive Rate Intelligence
Health plans can now easily compare their negotiated rates against the market across any geography, provider type, or billing code, without a data science team or months of manual analysis. Gigasheet's intuitive analytic tools surfaces those insights directly in the platform, so analysts spend time acting on information rather than processing it. The Price Map visualizes rate variation nationwide and zooms to the zip code level in seconds, while the AI-driven Smart Rate engine normalizes data across payers for apples-to-apples comparisons even when underlying contract structures differ.

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Key competitive intelligence capabilities include:

• Monitor competitor rates by market, specialty, and billing code in real time
• Visual Plan Comparison: analyze plans side-by-side, spot rate deltas across geographies
• Easily isolate the markets that matter most

Sharper Network Development Decisions
Building and maintaining a competitive network requires knowing what competitors are paying and where their coverage is strong. Price Transparency Explorer gives network development teams the market data they need to negotiate with confidence and identify network gaps.

• Benchmark provider rates in specific markets against the commercial landscape
• Identify geographic and specialty gaps in network coverage or pricing competitiveness
• Enter provider contract negotiations backed by current, market-validated rate data
• Configurable revenue projections help model the impact of rate changes across service lines

A Compelling Tool for Self-Insurance Sales
As employers increasingly evaluate self-funded and level-funded options, health plans and their broker partners need compelling, data-driven tools to win that business. Price Transparency Explorer enables sales teams to walk prospective employer clients through a live, interactive map comparison, showing in real time exactly where a proposed self-funded plan outperforms current market rates and where opportunity exists to improve.

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"For the first time, you can show on a map exactly where the plan is overpaying compared to going market rates. That conversation used to require a team of analysts. Our AI does that work behind the scenes, so now it takes minutes." -Jason Hines, CEO of Gigasheet

For stop-loss carriers and benefits consultants, the Benchmark tool provides instant analysis of any provider's rates relative to the market, with configurable revenue projections that bring credibility and specificity to employer conversations.

Learn more at https://gigasheet.com/features/insurers