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Network Navigator

Turn price transparency into smarter network decisions.

Network choice is a significant driver of employer healthcare spend, but many current network evaluation tools rely on market averages and self‑reported carrier data that may not fully reflect the true cost of care. Network Navigator is a health plan transparency tool that converts price transparency data into actuarially‑certified, provider-level insights to help employers compare and optimize health plan networks side‑by‑side with greater speed and confidence.

See clearly with Network Navigator.

Benchmark costs, identify high‑value providers, and model “what‑if” scenarios so you can answer questions like:

 

  • Which network performs best where my employees live?
  • Which network excels in the services and providers my employees use most? 
  • Is there consistency in which network is the lowest cost based on where employees live?
  • Which specialties or services (e.g., imaging, orthopedics, inpatient) may offer opportunities to reduce costs without sacrificing access or quality?
  • How do commercial networks compare to Medicare or Reference-Based Pricing?
  • How do we validate the savings and recommendations for care navigation?

Network Navigator helped 82.9% of Texas and 65.5% of North Carolina employers who used the tool find more cost-effective networks.

Clinical category breakdown

Highlight where specific networks deliver lower costs and align network choices with the highest-cost drivers in your populations.

Guide members to savings

Identify high-impact opportunities to help guide members toward lower-cost, high-quality providers.

Apples-to-apples comparison

Compare your current overall plan costs against rates offered by competitors.

See individual hospital rates

Understand which facilities may drive savings—or excess costs—so you can design benefit strategies around the systems your members use most.

Capabilities that drive savings

Provider‑level pricing

Use detailed negotiated rates and charge data rather than market averages.

Actuarially‑certified analytics

Trusted actuarial models translate raw pricing into meaningful cost metrics.

Side‑by‑side network comparison

Directly compare carriers and networks by geography, specialty, or service bundle.

Rapid benchmarking and scenario modeling

Benchmark costs and swap scenarios in seconds.

Actionable provider insights

Identify high‑cost outliers, lower‑cost equivalents, and steering opportunities.

Member guidance capabilities

Tools and reports are designed to help you guide employees toward cost-effective, high‑quality in‑network care.

Meet John, an actuary and Network Navigator specialist.

John Meredith, FSA, MAAA

Associate Director, Actuarial & Underwriting Services
Raleigh, NC

Complete the form to see Network Navigator in action.

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