Payers
ProviderActive is intentionally designed for healthcare payers, not providers, as its primary purchasers. This strategic focus stems from both the structural realities of the healthcare system and the value dynamics of managed care.
Payers, whether private insurers or public programs like Medicaid, hold financial and operational responsibility for managing populations at scale. They are the only stakeholders with both the incentive and the authority to drive system-wide change. With millions of members, thousands of providers, and billions in annual claims, even small improvements in efficiency and oversight yield massive returns. ProviderActive delivers these gains by unifying clinical and administrative data into real-time, diagnosis-centered healthcare supply chains, giving payers a transparent, automated platform to optimize outcomes, lower costs, and eliminate fraud.
Market Scale
ProviderActive is intentionally designed for healthcare payers, not providers, as its primary purchasers. This strategic focus stems from both the structural realities of the healthcare system and the value dynamics of managed care.
Payers, whether private insurers or public programs like Medicaid, hold financial and operational responsibility for managing populations at scale. They are the only stakeholders with both the incentive and the authority to drive system-wide change. With millions of members, thousands of providers, and billions in annual claims, even small improvements in efficiency and oversight yield massive returns. ProviderActive delivers these gains by unifying clinical and administrative data into real-time, diagnosis-centered healthcare supply chains, giving payers a transparent, automated platform to optimize outcomes, lower costs, and eliminate fraud.
Base Flat Rate Range: $4.50–$6.00 PMPM
Effective Net Rate: As low as $3.75 PMPM when offset by pharma data monetization
Comparable platforms in population health, HEDIS support, and disease management often price between $2–$10 PMPM but typically deliver 3–5x ROI, ProviderActive is at 10x.