Merative software empowers Sentara Health Plans to embrace retail healthcare by providing accurate, personalized out-of-pocket cost estimates for its members. This sophisticated software utilizes a high-performance treatment cost calculator to mine claims data, enabling members to shop for healthcare services with ease. By leveraging these advanced analytical tools, the health plan can navigate complex benefit structures and payment models to deliver true cost transparency. The technology streamlines the search process for treatments and physicians, fostering higher member engagement and informed decision-making. Ultimately, Merative provides the essential digital infrastructure to restructure provider rates and drive operational efficiency while improving the overall member experience.

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