Blue Health Intelligence’s Healthcare Benchmarking platform provides health plans and healthcare stakeholders with robust, cloud-based analytics tools to compare and analyze cost, quality, and utilization metrics at account, plan, regional, and national levels. Powered by one of the largest commercial claims databases in the U.S., the platform offers both the Whyzen® National Benchmark Module (NBM) and customized benchmarking solutions. Users can visualize performance, identify outliers, and optimize benefit structures by leveraging risk-adjusted comparisons and deep data insights. The system supports quarterly refreshed data, covers all U.S. geographies, and enables meaningful, apples-to-apples comparisons across multiple variables, including inpatient, outpatient, and specific procedures. Consulting support and custom cohort analytics are available for organizations needing tailored insights. The platform is designed to help health plans improve competitiveness, reduce costs, and close performance gaps through actionable intelligence.

Key Features

National Benchmark Module (NBM) Standalone application for visualizing and analyzing benchmarks.

• Compares cost, quality, and utilization at account, plan, and national levels
• Draws from a large, continuously updated claims database

Custom Benchmarking Data Solution Tailored analytics for specific client needs.

• Supplements national data with custom claims and risk adjustment
• Provides consulting support for cohort and regional analysis

Risk-Adjusted Comparisons Enables fair and meaningful benchmarking.

• Normalizes data for member demographics and risk profiles
• Identifies outliers and root causes for performance differences

Quarterly Data Refresh & Geographic Coverage Ensures up-to-date and comprehensive insights.

• Data refreshed quarterly, covering every U.S. zip code
• Supports national, regional, and industry-level comparisons

Visualization & Reporting Tools Empowers users with interactive analytics.

• Drill-down capabilities for cost and utilization drivers
• Generates reports for strategic planning and care management

Benefits

Performance Improvement Helps health plans close gaps and optimize operations.

• Identifies cost-saving opportunities and high-cost claim pockets
• Supports targeted interventions and care management

Strategic Decision Support Enables data-driven planning and contracting.

• Informs benefit structure optimization and provider engagement
• Enhances negotiation and value-based contracting

Competitive Advantage Provides insights for market positioning.

• Benchmarks against national and regional norms
• Reveals trends and variances for strategic action

Customizable Analytics Adapts to specific organizational needs.

• Offers tailored cohort and regional analysis
• Consulting support for actionable findings