Network Evaluation &
Disruption Analysis
Compare payer networks on a true % of Medicare benchmark — built on live price transparency data, actuarially validated, and delivered in under a week for a flat fee.
What's Inside the Report
Six layers of network intelligence in one deliverable
Every report goes beyond a single benchmark — mapping cost, discount, facility, and provider disruption so decision-makers see the full picture.
Network Comparison: % of Medicare
All networks normalized to a common benchmark across Inpatient, Outpatient, and Professional settings. Weighted by your group's actual geographic footprint and utilization mix.
% Discount from Billed Charges
Side-by-side discount performance by service category, so carriers can't hide behind inflated chargemasters.
Key Cost Drivers
Service-category and DRG-level breakdown showing exactly where one network outperforms another and why.
Hospital Comparison by Facility
Top utilized inpatient and outpatient facilities ranked by % of Medicare reimbursement per network.
Provider Disruption Analysis
NPI-level mapping of which current providers fall out-of-network under each alternative, protecting member access.
Confidence Scoring
Data completeness disclosed by service type and geography — no hidden gaps.
Sample Output
See the analysis, not just a summary
Pulled directly from a live PRIZM Employer Group Report.
Why Deerhold vs. a Large National Consulting Firm
The same rigor, a fraction of the cost and wait
6–12 week turnaround
| Capability | Large Firm | Deerhold |
|---|---|---|
| Payer price transparency-sourced rates | ✕Claims-based, years old | ✓ |
| Zero gap-fill / no AI-estimated rates | ✕ | ✓ |
| Group-specific census & utilization weighting | Varies | ✓ |
| % of Medicare normalized comparison baseline | ✕ | ✓ |
| Actuarial validation | ✓ | ✓ |
| Typical turnaround time | 6–12 weeks | < one week |
| Cost per report | $10,000–$25,000 | $7,500 |
| Unlimited report / annual subscription availability | ✕ | ✓ |
Windsor Strategy Partners — Actuarial Validation
Independently reviewed. Every single report.
Formal actuarial review
Every Deerhold Employer Group Report includes a formal actuarial review of methodology and findings. The review is prepared by a qualified actuary at Windsor Strategy Partners, an independent actuarial consulting firm.
In Their Words
PRIZM Price Transparency data is substantially more current than claims-based legacy tools, which are likely to lag actual contracted rates by several years. The % of Medicare normalization approach is an appropriate actuarial methodology for comparing disparate payer contracts across geographies and service categories.
How It Works
