Network Cost Analytics
Starset Clarity
Episode-cost intelligence that exposes network savings opportunities.
Traditional network management is built on blind spots. Health plans compare providers only within their own networks and analyze individual claim lines in isolation. Starset Clarity replaces those blind spots with episode-grouped, market-aware, AI-assisted cost intelligence.
KEY FEATURES
Episode-based cost normalization using the PACES episode grouper to create clinically homogeneous comparisons that capture both price and utilization
Payer competitiveness intelligence integrating price transparency data from major payers and providers, mapped to episode components
Natural language query interface: ask “which providers have episode costs significantly above market?” and get an answer in seconds
Actionable output: ranked opportunity lists quantified by savings potential, with detailed cost breakdowns and market comparisons
What the Data Helps Clients Answer
Which of our network providers have episode costs significantly above market, and by how much?
How do episode costs vary by site of care?
How do competitor and peer payer rates compare to ours for the same clinical episodes?
Where are our biggest savings opportunities, ranked by dollar impact across providers, episodes, and payers?
How do our providers' practice patterns stack up against benchmarks drawn from hundreds of millions of commercial claims?