Genuinely Transformational Reimbursement Rates
A next-generation negotiated rate calculation and pricing solution, providing healthcare stakeholders evidence-based, historically accepted payment amount. By leveraging advanced machine learning to ingest and transform massive amounts of healthcare pricing data, we curate a single, evidence-based reimbursement rate that the industry can trust. Our solution empowers the healthcare market with a fair, transparent price, delivering unprecedented price consistency while improving the consumer experience with unparalleled pricing clarity.
Universally Acceptable Payment Amount™
The Universally Acceptable Payment Amount™ (UAPA) is a healthcare reimbursement model designed to benefit healthcare providers, self-insured employers, and their employees as patients. It establishes a fair payment rate based on the weighted average of a provider's negotiated allowed amounts from contracted commercial in-network payers.
Benefits for Patients and Providers
Weighted Average of Current Commercial Prices
- Derived from real, commercial prices spanning 400+ payers
- Lands at a fair midpoint—not artificially low (RBP) or high (list price)
Genuine Acceptance
- Providers see a realistic rate they already use
- Employers get predictable spend
- Consumers enjoy fair, transparent pricing
Win-Win Alignment
- Less friction and fewer disputes among stakeholders
- Builds trust through data-driven fairness, not phantom “discounts”