Monocle Health Data

Monocle Health Data is a healthcare analytics company that scores physicians, hospitals, and ambulatory surgery centers on quality and price efficiency across all 70,000+ diagnostic codes. The company focuses on both episodic procedures and chronic illnesses, using multiple credible data sources including claims, EHRs, and third-party data to generate provider performance insights.

The company's proprietary algorithms analyze billions of data points to deliver provider assessments with a reported 97% accuracy rate. Their SaaS platform includes three core modules: longitudinal price efficiency by diagnosis, quality measures by diagnosis using 300+ metrics, and Monocle Health Reports with 50+ customized analytics. The solution is designed to serve employers, health plans, health systems/ACOs, medical management companies, and reinsurers.

Founded by Michael Cadger, a healthcare finance expert with 30+ years of experience who created the first U.S. Centers of Excellence network in 1988, the company reports an average implementation time of 30 days and claims to deliver an ROI of 7:1 or more.

Consider Monocle Health Data if you need objective, diagnosis-specific provider performance data that goes beyond patient satisfaction scores to include rigorous quality metrics and longitudinal cost analysis. The solution is particularly valuable for organizations managing chronic condition populations where multi-year cost patterns matter more than single-episode pricing.

Expect a fast implementation process with minimal upfront investment and integration into existing care coordination infrastructure. The platform works best for payers and employers who want to guide patients to high-value providers without restrictive network changes.

Monocle Health Data exclusively serves the healthcare industry with a focus on cost and quality transparency for payers, employers, and provider organizations. The company's entire technology stack is purpose-built for healthcare, analyzing claims data, EHRs, and clinical quality measures specific to medical diagnoses and treatment patterns.

The platform addresses healthcare-specific challenges including Centers of Excellence identification, value-based care provider selection, and medical cost containment across both acute and chronic conditions. The founder's background in creating the first U.S. Centers of Excellence network demonstrates deep healthcare industry expertise.

Health plans and self-funded employers with 5,000+ covered lives seeking to reduce medical costs through data-driven provider steering. Medical management companies and reinsurers needing objective provider performance data to support case management and high-cost claim mitigation. Organizations that want to maintain broad network access while encouraging utilization of high-value providers for specific diagnoses.