Turn fragmented health benefits data into decisions you can defend

Health Compiler connects claims, pharmacy, clinical, eligibility, HR, and direct care data into one view of cost, utilization, access, engagement, and outcomes.

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Employer Command Hub

Unified Healthcare Analytics

Fiduciary Status Defensible
Optimized
Cost Control
-14.8%
PMPM spend trend
$482 PMPM vs $566 Benchmark
Proactive Alert
Care Utilization
-22%
Avoidable ER visits
High Impact
DPC Engagement
84.6%
Primary care touch rate
Compliant
Risk & Fiduciary
Audit-Ready
Pre-stop-loss signals
Focus:Cost Control

Your data should answer business questions

You get reports from your TPA, PBM, broker, stop-loss carrier, and care vendors. They arrive at different times, use different definitions, and never connect.

Health Compiler creates one intelligence layer across your benefits ecosystem, so you can ask all year, not just at renewal:

What is driving medical and pharmacy spend?

Which conditions create the most avoidable cost?

Is direct primary care or navigation changing utilization?

Which vendors deliver measurable value?

Where is risk building before renewal or stop-loss?

How can we steer members to higher-quality, lower-cost care?

One view of cost, care, and performance

Understand spend. Medical and pharmacy trends, PMPM movement, sites of care, and high-cost patterns in one place. Not just the total, but what changed and why.

Find opportunities earlier. Chronic condition burden, avoidable ER and urgent care use, care gaps, specialty drug trends, and leakage, with time left to act.

Measure program and vendor impact. Tie participation to changes in cost, utilization, access, and outcomes using consistent measures.

Support fiduciary oversight. A clearer record of what was reviewed, asked, and done. This supports benefits governance, not legal, actuarial, or fiduciary advice.

Communicate with confidence. One shared view for finance, HR, advisors, and care partners, without stitching together vendor exports.

Connect your ecosystem. Seamlessly integrate data from TPAs, PBMs, EHRs, navigation tools, and point solutions without replacing your existing vendor relationships.

How it works

01

Connect medical and pharmacy claims, eligibility, clinical, direct care, HRIS, and vendor files, alongside your current partners.

02

Normalize member, provider, condition, and cost data so metrics stay consistent, with quality checks on missing or conflicting files.

03

Investigate trends by population, condition, geography, service, site of care, plan, and vendor.

04

Act. Prioritize opportunities, share findings, track interventions, and measure results.

What you can analyze

Cost and utilization

Cost and utilization: spend and PMPM trends, cost drivers by condition and site of care, inpatient and outpatient use, high-cost claimant patterns, out-of-network leakage.

Population health and access

Population health and access: chronic condition prevalence, care gaps, primary care engagement, avoidable ER and urgent care use, behavioral health and pharmacy trends.

Program performance

Program performance: participation and engagement, DPC and navigation impact, vendor reach, outcomes before and after participation.

Risk and planning

Risk and planning: emerging large-claim patterns, specialty medication trends, stop-loss reporting, renewal and plan design analysis.

Governance

Governance: consistent KPI definitions, vendor scorecards, committee reporting, role-based access, exportable views for partners.

Network and site of care

Network and site of care: in-network utilization, provider price variance, high-performing facility quality, referral patterns, and leakage reduction opportunities.

Built for how benefits teams work

Keep your ecosystem. No need to replace your TPA, PBM, broker, consultant, stop-loss carrier, or direct care partner.

Start with one question. Cost drivers, DPC performance, avoidable utilization, vendor accountability, or stop-loss reporting. Expand from there.

Hands-on implementation. Healthcare data is rarely plug and play. We map data, align definitions, and validate results with your team and partners.

Protect member data. Role-based access, privacy-aware reporting, and aggregate or de-identified views.

Answers for every stakeholder

Benefits and HR: access, utilization, engagement, and where the experience falls short.

Finance: spend drivers, emerging risk, and evidence behind benefits investments.

Fiduciaries: ongoing plan visibility and a record of what informed each decision.

Brokers and advisors: shared measures and faster, more specific client answers.

Care and vendor partners: proof of reach, engagement, and outcomes.

See the full story behind your health plan

You should not have to wait for renewal season to know what is happening.

Frequently Asked Questions