Develop Service Line Strategies
Analyze the Competitive Landscape
Anticipate Future Patient Needs
Identify Sites To Capture Demand
Drive Loyalty Across the Patient Journey
Leverage Price Transparency Insights
Retain Patients in Your Network
Match Provider Supply to Demand
Acquire Commercial Patients
Capture Outpatient Demand
Target High-Value HCPs
Strengthen Provider Networks
We collect and organize the industry’s most comprehensive healthcare datasets.
See demand, supply and yield across the U.S. health economy
Validated Data for 2.9M Practitioners
Episodes of Care for 300M Patients
Negotiated Rates for Any Service at Any Location
Flexible solutions to fit your specific needs and workflow
Free resources to help health economy stakeholders use our products and data
Answer Key Questions in Seconds
Health Economy Survival Strategies
Custom Enterprise-Level Analyses
Product Guides and Feature Releases
Exclusive Health Economy Insights
How We Tackle Technical Problems
Data-Driven Benchmarking Tool
Strategic guidance and commentary from our CEO, Hal Andrews
Annual fact-based analysis of trends shaping the health economy
An essential resource to survive healthcare’s negative-sum game
Develop Service Line Strategies
Analyze the Competitive Landscape
Anticipate Future Patient Needs
Identify Sites To Capture Demand
Drive Loyalty Across the Patient Journey
Leverage Price Transparency Insights
Retain Patients in Your Network
Match Provider Supply to Demand
Acquire Commercial Patients
Capture Outpatient Demand
Target High-Value HCPs
Strengthen Provider Networks
We collect and organize the industry’s most comprehensive healthcare datasets.
See demand, supply and yield across the U.S. health economy
Validated Data for 2.9M Practitioners
Episodes of Care for 300M Patients
Negotiated Rates for Any Service at Any Location
Flexible solutions to fit your specific needs and workflow
Answer Key Questions in Seconds
Custom Enterprise-Level Analyses
Exclusive Health Economy Insights
Free resources to help health economy stakeholders use our products and data
Health Economy Survival Strategies
Product Guides and Feature Releases
How We Tackle Technical Problems
Data-Driven Benchmarking Tool
Strategic guidance and commentary from our CEO, Hal Andrews
Annual fact-based analysis of trends shaping the health economy
An essential resource to survive healthcare’s negative-sum game
As revenue pressures intensify, keeping commercially insured patients in-network is critical to every health system’s survival – but many organizations lack the insights to understand why patients go elsewhere.
Network Explorer’s new filters help close that gap with granular visibility into the factors that drive out-of-network care. Built on industry-best machine learning models – for site of service accuracy, referral patterns, provider specialty imputation and patient origin – these enhancements help users distinguish between unavoidable out-of-network visits and network misalignment – enabling health systems to act with greater precision.
New filters reveal key patterns in referral behavior based on care setting and payer:
As health systems navigate tightening margins and increased competition for commercially insured patients, understanding why care is delivered out-of-network is just as important as knowing where. These new filters help move beyond surface-level metrics to uncover the underlying drivers of patient journeys – whether it is an emergency, payer influence or a breakdown in provider alignment.
Without the ability to distinguish between emergency and planned visits, network integrity analyses can be misleading – overstating risk and obscuring opportunities to improve network performance. Similarly, without visibility into patterns of out-of-network referrals across payers, it is difficult to know whether gaps are the result of referral leakage, consumer preference or payer steerage.
With clearer visibility into these dynamics, health systems can focus their strategy where it matters: reducing avoidable leakage, strengthening network integrity and improving performance across key provider and payer relationships.
Already a client? Log in now to explore the new filters and gain deeper insights into referral dynamics, emergency care and payer influence in your network.
New to Network Explorer? Schedule a demo to learn how these capabilities can help you reduce leakage, improve alignment and strengthen your network’s performance.