The Empowered Health Analytics
Advantage
ROADS — Revenue Intelligence That Puts You in Control
Negotiating with private health insurers used to be a guessing game. Now it’s a data-driven strategy.
The Revenue Optimisation and Decision Support (ROADS) Platform empowers hospitals to benchmark every admission against state and national funding averages — identifying where contracted rates fall short, and by how much.
Already, ROADS has uncovered over $25 million in insurer shortfalls across our client base.
With ROADS, you can:
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Instantly identify which insurers are paying below market
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Quantify exactly how much you’re underpaid — by DRG, service line, or contract
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Upload data continuously and get live insights, ready for negotiation
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Extract tailored visuals and evidence to present directly to insurers
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Inform service planning and business development based on real-world funding dynamics
No more negotiating blind. ROADS gives you the facts, the numbers, and the edge.
PIRAT - Clarity in a Complex Market
The private health insurance market is intricate, opaque, and high-stakes. Whether you're negotiating contracts, benchmarking performance, or analysing industry trends, knowing where each insurer stands — and why — is critical.
PIRAT (Private Insurance Risk Assessment Tool) transforms raw APRA data into actionable intelligence. With a proprietary five-domain scorecard and intuitive visual analytics, PIRAT benchmarks every major insurer across revenue growth, claims efficiency, financial strength, member trends, and cost discipline.
Use it on its own, or combine it with ROADS to strengthen your negotiation position with hard data and unmatched insight.
PIRAT gives you the full picture — when you need it most.
PHI Networks - See the Shifts that Shape the Market
In Australia’s private healthcare sector, visibility into insurer contracting behaviour has long been limited. The PHI Networks Dashboard changes that.
Built for hospital executives, industry leaders, and policy influencers, PHI Networks delivers the first comprehensive view of how private health insurers contract with hospitals — across time, region, and sector.
Spanning from 1 August 2020 to 1 July 2025, the platform tracks every major insurer’s contracting footprint.
Users can explore network coverage trends across five key dimension areas:
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Group vs Independent hospitals
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Major Cities, Inner Regional, Outer Regional
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Second Tier Status
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State
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Total Network Coverage
Whether you're preparing for negotiations, building a public policy case, or writing the next front-page article — PHI Networks gives you the data to drive the conversation.
HCP Analysis Tool - Evidence based benchmarking, state by state
When it comes to hospital funding, geography matters — but not always in the way you think.
The HCP Analysis Tool empowers private hospitals, analysts, and policy leaders to compare funding efficiency across Australian states using DRG-level data from the Department of Health’s HCP Annual Report.
By modelling what a hospital’s funding would have been if paid at another state’s average DRG rates — adjusted for year, DRG version, hospital type, and prosthesis inclusion — the tool reveals whether underpayment perceptions are fact or fiction.
Updated annually alongside the HCP Report, the tool brings transparency to a market long clouded by assumption.
Whether you're negotiating contracts, advising government, or shaping national strategy — the HCP Analysis Tool turns data into clarity.
