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For health plans

Payer contract benchmarking for health plans

DataLily AI shows health plans how their provider rates compare with the market, so contracting and network teams can decide what to pay and where to build.

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What health plans use DataLily AI for

  • Benchmark provider rates

    See whether you pay a provider above or below the market.

  • Close network gaps

    Find areas where members have few nearby options for key services.

  • Spot consolidation early

    See when practices join larger systems or investor-backed groups.

  • Compare coverage rules

    See how your coverage rules compare with other plans in your markets.

Common questions from health plans

How do health plans benchmark provider contract rates?

DataLily AI shows where your rates sit against the market for the providers you contract with. Contracting teams see where they pay above or below, with a date on every figure.

How can a health plan find gaps in its provider network?

DataLily AI shows where members have few nearby options for a service and which providers could fill the gap, from big cities to rural areas.

How can a health plan size up a new market before entering it?

DataLily AI shows the providers in a new market, who owns them and how their rates compare, so plan teams can see where a network would be strong or thin.

About DataLily AI

DataLily AI is the world model for US healthcare: one connected view of every US healthcare market, so teams can decide where to grow, what to negotiate and where to invest with the whole picture in view. It covers all 50 states, from big cities to rural areas. Every figure is dated and labeled Fact, Signal or Estimate. There is nothing to install; setup happens on a call.

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