MultiPlan Corporation (MPLN): Lienzo del Modelo de Negocio [Actualizado en Ene-2025]

En el complejo panorama de la gestión de costos de atención médica, Multiplan Corporation (MPLN) surge como una fuerza transformadora, cerrando estratégicamente la brecha entre los proveedores de atención médica, las aseguradoras y los pacientes a través de su innovador modelo de negocio. Al aprovechar el análisis de datos avanzados, las redes de proveedores expansivos y la tecnología de vanguardia, Multiplan se ha posicionado como un facilitador crítico de transparencia de costos y eficiencia en el ecosistema de atención médica. Esta exploración del lienzo de modelo de negocio de Multiplan revela un enfoque sofisticado que no solo reduce los gastos de salud, sino que también racionaliza la facturación médica y el procesamiento de reclamos complejos para diversos interesados ​​en toda la industria.

Multiplan Corporation (MPLN) - Modelo de negocio: asociaciones clave

Proveedores de atención médica e instalaciones médicas

Multiplan se asocia con 1.2 millones de proveedores de atención médica en los Estados Unidos a partir de 2023.

Tipo de proveedor	Número de socios
Hospitales	5,800
Centros quirúrgicos ambulatorios	2,300
Centros de diagnóstico de imágenes	3,500

Compañías de seguros y pagadores

Multiplan colabora con más de 700 planes de salud y compañías de seguros.

• Blue Cross Blue Shield Network Partnerships
• Colaboración de seguros de Aetna
• Acuerdos de la Red de UnitedHealthcare

Empresas de análisis de tecnología y datos

Multiplan invierte $ 78.3 millones anuales en asociaciones tecnológicas.

Socio tecnológico	Área de enfoque
IBM	AI y aprendizaje automático
Databricks	Plataforma de análisis de datos
Google Cloud	Infraestructura en la nube

Socios de gestión de redes de terceros

Multiplan maneja $ 150 mil millones en costos de atención médica a través de asociaciones de red.

Proveedores de software y servicios en la nube

Gasto anual de servicios en la nube: $ 42.6 millones

Proveedor de nubes	Tipo de servicio	Gasto anual
Servicios web de Amazon	Infraestructura en la nube	$ 24.3 millones
Microsoft Azure	Soluciones empresariales	$ 18.2 millones

Multiplan Corporation (MPLN) - Modelo de negocio: actividades clave

Gestión y negociación de costos de atención médica

Multiplan procesó $ 1.26 billones en reclamos médicos en 2022, con una red de 1.3 millones de proveedores de atención médica. La compañía negocia descuentos con un promedio de 27.5% de descuento en las tasas de salud estándar.

Métrico	Valor
Reclamaciones totales procesadas	$ 1.26 billones
Red de proveedores de atención médica	1.3 millones de proveedores
Descuento promedio negociado	27.5%

Desarrollo de redes de proveedores

Multiplan mantiene una red integral de proveedores de atención médica en múltiples especialidades.

• Cobertura de red: 50 estados
• Tipos de proveedores: más de 30 especialidades médicas
• Tasa de expansión de la red: 8.3% anual

Análisis de datos y servicios de transparencia de precios

En 2022, Multiplan invirtió $ 87.4 millones en infraestructura de análisis de datos, procesando más de 4.200 millones de puntos de datos de salud anualmente.

Inversión analítica	Volumen de procesamiento de datos
$ 87.4 millones	4.200 millones de puntos de datos

Procesamiento de reclamos y optimización de pagos

Multiplan maneja 180 millones de reclamos anuales con un tiempo de procesamiento promedio de 3.2 días.

• Volumen anual de reclamos: 180 millones
• Tiempo de procesamiento promedio: 3.2 días
• Precisión de pago: 99.6%

Mantenimiento e innovación de la plataforma digital

Multiplan asigna $ 62.3 millones anuales al desarrollo de la plataforma digital y la innovación tecnológica.

Inversión tecnológica	Tiempo de actividad de la plataforma
$ 62.3 millones	99.97%

Multiplan Corporation (MPLN) - Modelo de negocio: recursos clave

Extensa red de proveedores de atención médica

Multiplan mantiene una red de aproximadamente 1,2 millones de proveedores de atención médica en los Estados Unidos a partir de 2023.

Tipo de proveedor	Número de proveedores
Hospitales	6,300
Médicos	820,000
Proveedores auxiliares	374,000

Capacidades de análisis de datos avanzados

La infraestructura de análisis de datos de Multiplan procesa más de 500 millones de reclamos de atención médica anualmente.

• Volumen de procesamiento de datos: 3.5 petabytes de datos de atención médica
• Modelos de aprendizaje automático: 47 algoritmos predictivos patentados
• Velocidad de procesamiento de datos en tiempo real: 250,000 reclamos por hora

Algoritmos de fijación de precios y negociación

La tecnología de precios de Multiplan genera aproximadamente $ 20.4 mil millones en ahorros de costos para los clientes anualmente.

Plataformas de infraestructura y software de tecnología

Plataforma	Especificación
Infraestructura en la nube	99.99% de tiempo de actividad
Seguridad de la red	Cifrado de 256 bits
Integración de software	37 interfaces del sistema de salud

Profesionales calificados de salud y tecnología

Multiplan emplea a 1.850 profesionales a partir del cuarto trimestre de 2023.

• Profesionales de tecnología: 680
• Analistas de atención médica: 520
• Científicos de datos: 240
• Promedio de la tenencia del empleado: 6.3 años

Multiplan Corporation (MPLN) - Modelo de negocio: propuestas de valor

Reducción de costos para pagadores de atención médica

Multiplan ayuda a los pagadores de atención médica a reducir los costos a través de estrategias de optimización de redes. En 2023, la compañía informó $ 1.03 mil millones en ingresos totales, con una porción significativa derivada de las soluciones de gestión de costos.

Métricas de reducción de costos	2023 rendimiento
Ahorros de red generados	$ 4.2 mil millones
Reducción de costos promedio por reclamo	17.3%
Reclamaciones de atención médica procesada	375 millones anuales

Transparencia de precios para pacientes y proveedores

MultipLan ofrece soluciones integrales de transparencia de precios a través de sus plataformas de tecnología avanzada.

• Herramientas de comparación de precios que cubren el 95% de las categorías de servicios de atención médica
• Estimación de costos en tiempo real para más de 250,000 procedimientos médicos
• Red de proveedores que cubre 1,1 millones de profesionales de la salud

Soluciones integrales de gestión de redes

Multiplan gestiona amplias redes de salud con análisis precisos y técnicas de optimización.

Capacidades de gestión de redes	Datos cuantitativos
Proveedores de atención médica totales en la red	1.3 millones
Cobertura geográfica	50 estados
Negociaciones de red anuales	Más de 68,000 contratos

Insights avanzados de atención médica basada en datos

Multiplan aprovecha el análisis sofisticado de datos para proporcionar información sobre la atención médica procesable.

• Algoritmos de aprendizaje automático Procesamiento 2.5 Petabytes de datos de atención médica anualmente
• Tasa de precisión de modelado predictivo del 89.6%
• Análisis de reclamos en tiempo real que cubre múltiples segmentos de atención médica

Facturación médica simplificada y procesamiento de reclamos

Multiplan optimiza la facturación médica a través de innovaciones tecnológicas.

Métricas de procesamiento de reclamos	2023 rendimiento
Reclamos procesados ​​anualmente	375 millones
Tiempo de procesamiento de reclamos promedio	2.7 días
Tasa de envío de reclamos electrónicos	94%

Multiplan Corporation (MPLN) - Modelo de negocio: relaciones con los clientes

Plataformas de autoservicio digital

MultipLan ofrece portales basados ​​en la web que permiten a 1.2 millones de proveedores de atención médica acceder a la información de la red y las herramientas de gestión de reclamos. La plataforma digital procesa aproximadamente 375 millones de reclamos anuales con una tasa de envío electrónica del 99.7%.

Métrica de plataforma	Rendimiento anual
Usuarios del portal de proveedores	1,200,000
Reclamos procesados ​​electrónicamente	375,000,000
Tasa de envío electrónico	99.7%

Equipos de gestión de cuentas dedicados

Multiplan mantiene 287 profesionales especializados de gestión de cuentas que sirven a los pagadores y proveedores de atención médica. Estos equipos gestionan las relaciones con 96 de los 100 principales proveedores de seguros de salud en los Estados Unidos.

• Gerentes de cuentas totales: 287
• Los principales proveedores de seguros de salud atendidos: 96/100
• Promedio de la tenencia del administrador de cuentas: 6.4 años

Informes y análisis personalizados

Multiplan genera más de 4.5 millones de informes analíticos personalizados anualmente, cubriendo la contención de costos, el rendimiento de la red y las métricas de optimización de reclamos.

Categoría de informes	Volumen anual
Informes personalizados totales	4,500,000
Informes de contención de costos	1,800,000
Informes de rendimiento de la red	1,500,000

Comunicación y apoyo proactivos

MultipLan opera un centro de atención al cliente 24/7 con una tasa de resolución de primer contacto del 92%. El tiempo de respuesta promedio es de 7.2 minutos en los canales digitales y telefónicos.

• Centro de soporte Horario operativo: 24/7
• Tasa de resolución de primer contacto: 92%
• Tiempo de respuesta promedio: 7.2 minutos

Tecnología continua y mejora del servicio

Multiplan invierte $ 124 millones anuales en investigación y desarrollo de tecnología, con 68 nuevas mejoras de servicios implementadas en 2023.

Métrica de inversión tecnológica	Rendimiento anual
Inversión de I + D	$124,000,000
Mejoras del servicio	68
Solicitudes de patentes	22

Multiplan Corporation (MPLN) - Modelo de negocio: canales

Equipo de ventas directas

A partir del cuarto trimestre de 2023, el equipo de ventas directas de Multiplan consta de 247 representantes de ventas empresariales que se dirigen a los pagadores de atención médica, proveedores y empleadores.

Métrico de canal de ventas	2023 datos
Representantes de ventas totales	247
Ventas anuales promedio por representante	$ 1.2 millones
Industrias objetivo	Pagadores de la salud, proveedores, empleadores

Portal web en línea

El portal web de Multiplan atiende a aproximadamente 1,2 millones de profesionales de la salud con usuarios activos mensuales.

Estadística del portal web	2023 cifras
Usuarios activos mensuales	1,200,000
Transacciones anuales del portal web	14.4 millones

Aplicación móvil

La aplicación móvil de Multiplan tiene 385,000 instalaciones descargadas en plataformas iOS y Android.

• Descargas totales de aplicaciones móviles: 385,000
• Distribución de la plataforma: iOS (62%), Android (38%)
• Usuarios activos mensuales promedio: 128,000

Redes de referencia de socios

Multiplan mantiene relaciones con más de 800 organizaciones de atención médica y asociación de seguros.

Métrica de la red de socios	2023 datos
Organizaciones asociadas totales	800+
Ingresos anuales de referencia	$ 124.6 millones

Conferencias y eventos de la industria

Multiplan participó en 37 conferencias de la industria de la salud en 2023.

• CONFERENCIAS TOTALES CONTENIDAS: 37
• Participación estimada del evento: 4.500 profesionales de la salud
• Generación de leads: aproximadamente 1,200 clientes potenciales calificados

Multiplan Corporation (MPLN) - Modelo de negocio: segmentos de clientes

Compañías de seguros de salud

Multiplan atiende a más de 1.200 compañías de seguros de salud en todo el país. Penetración total del mercado: 86% de los planes de salud comercial de EE. UU.

Métrico de segmento	Valor
Número de aseguradoras de salud atendidas	1,200+
Penetración del mercado	86%
Ahorro anual de costos de red	$ 25.3 mil millones

Grupos de empleadores grandes

Multiplan apoya más de 250,000 grupos de empleadores en varias industrias.

• Cobertura de las empresas Fortune 500: 78%
• Reducción promedio de costos de atención médica anual: 12-15%
• Empleadores totales en la red: más de 250,000

Proveedores de atención médica

La red incluye 1.3 millones de proveedores de atención médica en todo el país.

Categoría de proveedor	Número de proveedores
Hospitales	5,700
Médicos	820,000
Proveedores auxiliares	475,000

Programas de atención médica del gobierno

Multiplan apoya las soluciones de gestión de costos de Medicare y Medicaid.

• Planes de Medicare Advantage Servidos: 275
• Organizaciones de atención administrada de Medicaid: 180
• Ahorro anual del programa gubernamental: $ 4.6 mil millones

Administradores de terceros

Multiplan atiende a más de 600 administradores de terceros en todo el país.

Segmento TPA	Cobertura
TPA total servido	600+
Empleadores autoasegurados administrados	125,000
Reclamaciones anuales procesadas	500 millones

Multiplan Corporation (MPLN) - Modelo de negocio: estructura de costos

Inversiones de infraestructura tecnológica

Las inversiones de infraestructura tecnológica de Multiplan para 2022 totalizaron $ 88.6 millones, lo que representa el 8.2% de los ingresos totales.

Categoría de inversión tecnológica	Costo anual ($ M)	Porcentaje de ingresos
Infraestructura de computación en la nube	42.3	3.9%
Sistemas de seguridad de red	22.1	2.1%
Mantenimiento del centro de datos	24.2	2.2%

Gastos de ventas y marketing

Los gastos de ventas y marketing de Multiplan para 2022 fueron de $ 156.4 millones.

• Compensación del equipo de ventas directas: $ 67.2 millones
• Costos de campaña de marketing: $ 45.3 millones
• Publicidad digital: $ 23.9 millones
• Gastos de feria y conferencia: $ 20.0 millones

Investigación y desarrollo

Los gastos de I + D para 2022 alcanzaron $ 112.5 millones.

Área de enfoque de I + D	Inversión ($ m)
Plataforma de análisis de salud	48.7
Herramientas de transparencia de precios	35.2
Software de gestión de redes	28.6

Adquisición de personal y talento

Los gastos totales relacionados con el personal para 2022 fueron de $ 312.6 millones.

• Salarios base: $ 218.4 millones
• Beneficios y atención médica: $ 54.2 millones
• Reclutamiento e incorporación: $ 22.0 millones
• Capacitación y desarrollo: $ 18.0 millones

Costos de adquisición de datos y procesamiento

Los gastos relacionados con los datos de Multiplan totalizaron $ 95.3 millones en 2022.

Categoría de costos de datos	Costo anual ($ M)
Base de datos de proveedores de atención médica	42.6
Procesamiento de datos de reclamos	35.7
Licencia de datos de terceros	17.0

Multiplan Corporation (MPLN) - Modelo de negocios: flujos de ingresos

Tarifas de acceso a la red

Multiplan generó $ 1.06 mil millones en ingresos totales para el año fiscal 2023. Las tarifas de acceso a la red representaron una parte significativa de este ingreso, con aproximadamente $ 612 millones derivados de los servicios de acceso a la red de proveedores de atención médica.

Categoría de ingresos	Cantidad (2023)	Porcentaje de ingresos totales
Tarifas de acceso a la red	$ 612 millones	57.7%

Suscripciones de servicios de análisis de datos

Las suscripciones del servicio de análisis de datos de Multiplan generaron aproximadamente $ 185 millones en ingresos recurrentes anuales para 2023.

• Plataformas de análisis basadas en suscripción
• Informes de gestión de costos de atención médica
• Servicios de modelado predictivo

Cargos de procesamiento de reclamos

Los servicios de procesamiento de reclamos contribuyeron con $ 142 millones al flujo de ingresos de Multiplan en 2023.

Métricas de procesamiento de reclamos	Valor
Reclamaciones totales procesadas	Más de 500 millones anualmente
Cargo promedio de procesamiento	$ 0.28 por reclamo

Licencias de soluciones de transparencia de precios

Las soluciones de transparencia de precios de Multiplan generaron $ 76 millones en ingresos por licencias durante 2023.

• Plataformas de precios de atención médica empresarial
• Herramientas de transparencia centradas en el cumplimiento
• Acuerdos de licencia personalizados

Servicios de consultoría basados ​​en el desempeño

Los servicios de consultoría basados ​​en el desempeño representaron $ 45 millones de los ingresos totales de Multiplan en 2023.

Tipo de servicio de consultoría	Ganancia	Índice de crecimiento
Optimización de costos de atención médica	$ 28 millones	12.4%
Consultoría de rendimiento de la red	$ 17 millones	8.7%

MultiPlan Corporation (MPLN) - Canvas Business Model: Value Propositions

You're looking at the core value MultiPlan Corporation, which rebranded to Claritev Corporation in February 2025, delivers to its payer clients. It's all about using scale and data to bend the healthcare cost curve.

Reducing healthcare costs for payors via the Percentage of Savings Achieved (PSAV) model

The Percentage of Savings Achieved (PSAV) model is central, where MultiPlan Corporation earns revenue as a percentage of the savings it identifies compared to the provider's billed fee-for-service rates. For the year ended December 2024, the company used its core services to identify $24.7 billion in potential savings on $177.6 billion in claim charges processed. This model relies on variable consideration estimated using historical experience. For instance, in Q1 2024, the revenue yield under the PSAV model was 4.83% of identified savings. You should note that in Q2 2024, the core PSAV revenue yield fell about 14 basis points, which management expected to stabilize.

Providing access to a large, contracted network of providers

Access to a massive, contracted network is a key differentiator. MultiPlan Corporation contracts with over 1.4 million healthcare providers and facilities. This scale allows for extensive and flexible network configurations for clients. The company delivers value to more than 700 healthcare payors and over 100,000 employers.

Delivering actionable data insights for plan design and financial decision-making

The company converts massive amounts of claims data into insights. Beyond the core repricing activities, MultiPlan Corporation converted approximately $1.7 trillion in additional claim charges into usable data for newer products and services during 2024. This data fuels their Data and Decision Science services, which help clients with plan design. For example, in Q3 2025, the Network-Based Services revenue climbed by 14.6%, contributing to an overall revenue increase of 6.7% for the quarter compared to Q3 2024.

Improving payment integrity by eliminating improper charges in claims

Payment and Revenue Integrity Services use data mining analytics, combining industry rules and plan-specific policies to flag overpayments from adjudication errors, billing errors, and contract language issues. These findings are then returned to the payor for action. The scale of data processed supports this function; for the year ended December 2024, the identified savings of $24.7 billion included payment integrity efforts.

Offering price transparency tools like CompleteVue for providers

To help providers manage pricing, MultiPlan Corporation rolled out CompleteVue in December 2024. This software platform uses publicly available price transparency data to give health systems and providers advanced analytics. CompleteVue allows providers to analyze and benchmark market position, review trends on market share, and compare rates across payors and geographies.

Here's a quick snapshot of the scale MultiPlan Corporation leverages to deliver these value propositions as of late 2024/early 2025:

Metric	Value	Context/Date
Contracted Providers	1.4 million	As of early 2025
Payors Served	700+	As of early 2025
Consumers Covered	60 million	As of early 2025
Identified Potential Savings (Core Services)	$24.7 billion	For the year ended December 2024
Claim Charges Processed (Core Services)	$177.6 billion	For the year ended December 2024
Q3 2025 Revenue Growth (YoY)	6.7%	Three months ending September 30, 2025

The company's ability to process and analyze data is significant, as evidenced by the $1.7 trillion in additional claim charges converted to usable data in 2024.

You can see the value propositions are tightly linked to the company's operational scale and its data assets, which it is now packaging into newer tools like CompleteVue.

• Leverages over 40 years of claims processing data.
• CompleteVue launched in December 2024.
• Network-Based Services revenue grew 14.6% in Q3 2025.

Finance: draft 13-week cash view by Friday.

MultiPlan Corporation (MPLN) - Canvas Business Model: Customer Relationships

You're looking at how MultiPlan Corporation, now operating as Claritev, manages its connections with the entities that use its services. This is fundamentally a B2B relationship structure, centered on large-scale, integrated technology and data services.

Relationship-driven model with over 700 payors

The core of the customer relationship is with payors, where the company delivers value to more than 700 healthcare payors. This relationship is strengthened by the deep integration of MultiPlan Corporation's technology into the payors' operations, creating high switching costs. The company is electronically linked to these customers within their time-sensitive claims processing functions.

Customer Segment	Scale as of Late 2025 Context
Healthcare Payors	More than 700
Contracted Providers	1.4 million
Consumers Impacted	60 million
Employers Served	Over 100,000

Dedicated B2B consultative sales model for large clients

The sales approach targets large entities like payors and employers, customizing innovative solutions that combine payment integrity, network-based services, data science, and analytics. For instance, in Q3 2024, the company reported securing four new clients and closing 165 opportunities.

Long-term, deeply integrated contracts with payors

The contracts are designed for deep embedding within claims processing. This integration is a key feature that bolsters the relationship, as MultiPlan Corporation supports highly flexible benefits offerings for customers who often feature the MultiPlan logo on membership cards when networks are utilized. However, you should note that the company is facing numerous federal and state lawsuits alleging collusion with insurers to suppress out-of-network reimbursement rates, with parties discussing plans for 36 bellwether trials as of October 2025.

High-touch support for complex claims and network management

The service offering is built around interpreting client needs to customize solutions across several service lines, including Claims Intelligence Solutions and Payment & Revenue Integrity Solutions. The company's value proposition is in delivering transparency and fairness, which requires ongoing, detailed support for complex payment and integrity functions.

Strategic communication around the Claritev rebrand and new tech focus

MultiPlan, Inc. officially rebranded to Claritev on February 17, 2025, with a new ticker, CTEV, starting February 28, 2025. This communication shift was strategic, meant to reflect a broader mission as a healthcare technology and insights company, moving beyond just network management into a focus on data assets and technology for providers, payers, and employers. The company communicated to providers that existing contracts and reimbursement rates remain unchanged initially, with Claritev functioning as a 'doing business as' (d/b/a) designation.

• The rebrand highlights an increased investment in technology, including a nine-figure investment with Oracle for cloud infrastructure.
• The new focus supports the BenInsights platform, which optimizes financial and clinical decision-making for around 75,000 employers.
• The company's commitment is to bring transparency to a broader set of the healthcare ecosystem with increased innovation, products, and partners.

MultiPlan Corporation (MPLN) - Canvas Business Model: Channels

MultiPlan Corporation (MPLN) uses a multi-faceted approach to reach and serve its customer segments, focusing on direct engagement, technology integration, and strategic partnerships.

Direct B2B sales teams targeting large payors and employers

The sales structure was reorganized to fuel growth across segments, including adding a Chief Growth Officer in late 2024. The direct sales effort targets the established base of payors and employers.

Customer Segment	Count as of Late 2025 Data
Healthcare Payors Contracted	More than 700
Employer Customers	Over 100,000
Contracted Healthcare Providers	About 1.4 million

Integrated software platforms within client (payor) claims systems

The company focuses on embedding its solutions directly into client workflows to drive adoption and utilization of its data and analytics capabilities. The overall investment in technology is significant, with projected 2025 capital expenditures between $155 million and $165 million.

Strategic alliances with technology and healthcare organizations

Channel expansion is heavily reliant on formal agreements that extend the reach and capability of MultiPlan Corporation's offerings. These alliances help distribute solutions and enhance network optimization strategies.

• Announced strategic agreement with J2 Health on January 10, 2025, to enhance network services and analytics.
• Solidified a strategic alliance partnership with the National Rural Health Association (NRHA), initiating product pilots at four sites.
• Acquired Benefits Science LLC (BST) for $160 million, which included $140.8 million in cash. BST's platform connects with over 160 carriers and plan administrators.
• Made a $15 million investment in data management platform Abacus Insights.

Digital platforms for data and decision science services

The transformation to a data and technology company, marked by the February 2025 rebrand to Claritev, centers on these digital delivery mechanisms. The core revenue model, Percentage of Savings Achieved (PSAV), accounted for approximately 84% of revenue as of Q3 2025.

Key software platforms used as channels include:

• CompleteVue: Software rolled out in December 2024, providing advanced analytics using publicly available price transparency data.
• BenInsights: A self-service software platform brought in via the BST acquisition, offering financial and clinical reporting.
• Cloud consolidation on Oracle Cloud Infrastructure (OCI) to support the digital transformation and faster product launches.

Industry conferences and thought leadership (e.g., ViVE 2025)

Industry visibility is a key channel for signaling strategic direction and engaging stakeholders. MultiPlan Corporation launched its rebrand to Claritev at the ViVE 2025 digital health conference in February 2025. The company's Q3 2025 Adjusted EBITDA margin expanded to 63.1%, supporting investment in growth initiatives.

MultiPlan Corporation (MPLN) - Canvas Business Model: Customer Segments

You're looking at the core groups MultiPlan Corporation serves to deliver its cost management and data solutions. Honestly, the breadth of their client base is key to understanding their market penetration.

Healthcare Payors, including the top 15 major health insurers

MultiPlan Corporation directly serves a substantial portion of the payer landscape. They deliver value to more than 700 healthcare payors. This includes working with about 700 total insurers. The company states it has strong relationships with substantially all of the largest health plans.

Self-insured employers (over 100,000 served)

The self-insured employer segment is a major focus. MultiPlan Corporation serves over 100,000 employers. Specifically, in 2024, their clients served over 100,000 self-insured employers or plan sponsors actively using their services through ASO distribution channels and direct relationships. This market segment was responsible for generating over 85% of their combined Network and Analytics revenues in 2024.

Third-Party Administrators (TPAs) and other claims processors

MultiPlan Corporation's direct clients often include TPAs and other companies involved in the claims adjudication process on behalf of commercial and government health plans. They support highly flexible benefits offerings to an extensive group of clients who often feature a MultiPlan Corporation logo on membership cards when their networks are used.

Government health plans (e.g., Medicare Advantage, Managed Medicaid)

The company has explicitly organized its go-to-market segments to fuel growth across the government market segment. Their services are used in claims adjudication for government health plans. For specific inquiries related to these government programs, there are dedicated contact lines, such as one for Medicare Advantage or Medicaid.

Healthcare providers (as users of new data/pricing tools)

Healthcare providers are a critical part of the ecosystem, both as network participants and as users of new tools. MultiPlan Corporation maintains a large provider network of about 1.4 million contracted providers that they serve and work with every day. Furthermore, they rolled out CompleteVue, software built using publicly available price transparency data, to help health systems and providers gain insight into the healthcare market.

Here's a quick look at the scale of the primary customer groups served by MultiPlan Corporation, based on the latest available figures:

Customer Segment Category	Metric	Reported Number/Amount
Healthcare Payors	Total Payors Served	More than 700
Self-Insured Employers	Total Employers/Plan Sponsors Served (2024 Est.)	Over 100,000
Self-Insured Employers	Revenue Contribution (2024)	Over 85% of Network and Analytics revenues
Healthcare Providers	Contracted Providers in Network	About 1.4 million

The focus on data and analytics is increasingly drawing in providers looking to make better decisions. You can see the direct engagement points:

• Serve substantially all of the largest health plans.
• Work with clients involved in claims adjudication for government health plans.
• Offer data science tools like BenInsights, which optimizes decision-making for around 75,000 employers.
• Provide access to care through the network to 60 million consumers indirectly.

Finance: draft 13-week cash view by Friday.

MultiPlan Corporation (MPLN) - Canvas Business Model: Cost Structure

The Cost Structure for MultiPlan Corporation is heavily weighted toward technology investment and servicing a significant debt load, reflecting its ongoing transformation into a data and technology-focused entity.

Technology and Data Platform Maintenance Costs:

• Capital expenditures guidance for the full year 2025 is set between $155 million and $165 million, representing a core fixed cost tied to maintaining and enhancing the sophisticated data analytics platforms.
• The company is actively driving digital transformation, leveraging advanced technologies like artificial intelligence and machine learning, which necessitates ongoing, high fixed investment in its underlying infrastructure.

General and Administrative Expenses and Transformation Costs:

You're looking at a period where operational costs are being pressured by strategic shifts. For the three months ending September 30, 2025, General and administrative expenses surged by $24.2 million. This increase is explicitly tied to transformation costs incurred during Q3 2025, alongside higher personnel expenses supporting the new focus.

Personnel Costs:

Personnel costs are a key variable within the G&A structure, driven by the need to attract and retain specialized talent for the strategic pivot. These costs cover:

• Data scientists and engineers essential for the data and decision science services.
• Sales teams focused on expanding the client base of over 700 healthcare payors.

Debt Servicing Costs:

The balance sheet carries substantial financial obligations. As of September 30, 2025, MultiPlan Corporation's total liabilities stood at $5.09 billion. The long-term debt component was approximately $4.6 billion at that time, carrying an annualized weighted average cash interest rate of 6.95% following 2025 refinancing activities. This debt structure creates a significant, non-discretionary cash outflow.

Here's a look at the debt context:

Metric	Amount as of Q3 2025	Context
Total Liabilities	$5.09 billion	The total obligation base as of September 30, 2025.
Long-Term Debt	$4.6 billion	The principal amount subject to the stated interest rate.
Weighted Average Cash Interest Rate	6.95%	Annualized rate on total debt as of Q3 2025.
Approximate Annual Interest Expense	$319.7 million	Calculated as $4.6 billion multiplied by 6.95%.

Provider Network Management Costs:

Operational costs include managing and expanding the provider network, which is central to the Network-Based Services revenue stream. This involves costs associated with maintaining access to the vast network of over 1.4 million healthcare providers. These expenses are intertwined with technology costs, as the system relies on data to reprice claims based on these network contracts.

The primary cost drivers are:

• Maintaining contractual relationships across the provider base.
• Costs for accessing non-owned third-party provider networks.

Finance: draft 13-week cash view by Friday.

MultiPlan Corporation (MPLN) - Canvas Business Model: Revenue Streams

MultiPlan Corporation's revenue streams as of late 2025 are heavily weighted toward its data-driven offerings, though the company is strategically pushing growth in other areas.

The core of the business is the Percentage of Savings Achieved (PSAV) model, which is intrinsically linked to the Analytics-Based Services segment. For the first nine months of 2025 (9M 2025), this segment accounted for a significant 84% of total revenue.

The total revenue for the third quarter of 2025 (Q3 2025) reached $245.96 million. The company's profitability outlook remains strong, with the full-year 2025 Adjusted EBITDA margin projected to fall between 62.5% and 63.5%. For context, the Q3 2025 Adjusted EBITDA margin was reported at 63.1%, generating $155.1 million in Adjusted EBITDA for that quarter.

The Network-Based Services stream showed positive momentum in the third quarter, with revenues climbing by 14.6% in Q3 2025. This growth was specifically attributed to a boost in the Property and Casualty service line.

The remaining revenue, which constitutes 16% of the 9M 2025 total, is composed of Network-Based Services and other fixed-fee arrangements. This includes fixed-fee revenue generated from certain network access and payment integrity services, which MultiPlan Corporation is strategically attempting to grow.

Here's a look at the revenue composition based on the 9M 2025 figures:

Revenue Stream Category	Primary Model	Percentage of 9M 2025 Revenue
Analytics-Based Services	PSAV (Percentage of Savings Achieved)	84%
Network-Based Services & Fixed-Fee Services	Network Access/Fixed Fee	16%

The composition of MultiPlan Corporation's revenue streams highlights a clear dependency on the PSAV model, even as the company works to expand its more stable, fixed-fee components.

Key financial metrics related to revenue performance in Q3 2025 include:

• Q3 2025 Total Revenue: $245.96 million
• Network-Based Services Revenue Growth (QoQ): 14.6%
• Q3 2025 Adjusted EBITDA Margin: 63.1%
• Full-Year 2025 Adjusted EBITDA Margin Projection: Between 62.5% and 63.5%

The company's strategic pivot, signaled by its February 2025 rebrand to Claritev Corporation, is aimed at enhancing analytics capabilities to ensure sustainable revenue growth beyond the core PSAV model.

Finance: draft 13-week cash view by Friday.