WHO WE HELP
One Network.
Many Stakeholders. Distinct Priorities.
Meridian addresses a range of opportunities and outcomes to support your full team. Let us help you move forward.
Executive Leadership
Clinical Strength Depends on Operational Strength.
The gap between a good health system and a great one is not only clinical; it is whether the organization can reliably get every patient to the right care.
Meridian helps systems build the intelligence and activation infrastructure to keep care with in-network specialists who out-perform the alternatives, capture the value of the contracts you have signed, and compound those gains year over year.
What Meridian Does for Health System Leaders
Systematically manage the decision that drives both quality and margin. Where a patient is referred determines the outcome they get and the economics that follow, and it is the one decision most systems have no infrastructure to manage.
Proof of concept at scale. $3.2B in documented opportunity across 60+ health system partners. An NPS of 55.3 — 60% above industry average. The track record exists, and it's verifiable.
Mission and margin, aligned. The pressure to improve margin without compromising care quality is a false tradeoff, if you have the right intelligence. Meridian ensures that financially optimal referrals are also clinically sound ones, so performance on one dimension doesn't come at the expense of the other.
A capability that compounds. Meridian isn't a one-time capture event. Health systems that operate with this discipline build a BD infrastructure that gets smarter with every cycle, improving network performance, payer mix, and contract outcomes on a continuous basis.
A partner whose confidence is in the contract. Meridian carries a single, outcomes-based fee tied to the improvement we deliver against a service-line baseline we set with you. We take that risk because we are confident in the results.
Financial Leadership
The margin you're searching for is already in your network. We help you find and keep it.
Meridian gives finance leaders full visibility into the referral network: what out-of-network care is costing you, how much of it is actually recoverable, and how every dollar of investment traces to a measurable return. Our fee structure is 100% outcomes-based. We earn when you improve.
What Meridian Does for Finance Leaders
A quantified opportunity, not an estimate. $65–$100M in annual opportunity with a clear category breakdown: $40–$55M in leakage recovery, $15–$25M in APM performance improvement, $10–$20M in site-of-service optimization. The business case is verifiable before you commit.
A physician-level model that builds directly into your P&L. At $1.6M in lost downstream revenue for every physician sending volume out of network, Meridian gives you the granularity to size the opportunity by service line, prioritize recovery, and make the case to your board with numbers that hold up to scrutiny.
Risk shared, not transferred. A single outcomes-based fee tied to realized improvement in value per patient per service line. Not a software subscription. Not a fixed cost added before value is delivered. We don't get paid until you do.
A capacity case for your highest-value service lines. Margin compression rarely comes from costs alone, it comes from underutilized capacity in the lines where you make the most. Meridian identifies where that volume is going instead, whether those destinations actually out-perform you, and builds the recovery path into your financial model.
Strategic Planning
Your strategic plan is only as strong as the network infrastructure that executes it.
Meridian gives your strategy function something it has never had: the intelligence and activation infrastructure to deliver results you can prove to the CFO. Whether your focus is network development, service line growth or value-based expansion, Meridian connects strategic vision to clinical workflow, turning a growth plan into a growth result.
What Meridian Does for Strategy Leaders
Move your strategy function from identifying the problem to owning the outcome. Meridian gives you the plan, the targets, and the measurement infrastructure to prove what your team actually moved.
An embedded analytics partner, supporting your executive communications, board materials, and cross-functional analysis. Not a dashboard you manage. A team that shares accountability for results.
The only platform that models fee-for-service and value-based contracts simultaneously, giving your team the shared evidence base that contracting, revenue cycle, and clinical leadership can all work from. That's your credibility with the CFO.
We’ll help you build the CFO business case, with quantified opportunity ranges, outcomes-based fee structure, and validation from 60+ health system partners.
Population Health
Value-based contracts only pay off when the network performs. Meridian makes that happen.
Meridian is the first platform to optimize fee-for-service and value-based contracts simultaneously. That means your referral strategy no longer has to choose — between fee-for-service volume growth and APM performance, or between what is right for today's patient and the quality targets your contracts are measured on. Recommendations are modeled across your full payment portfolio at the service line and network level, so growth in one contract does not quietly damage performance in another.
What Meridian Does for Value-Based Care
Simultaneous visibility across 70+ payment models: network and service line performance evaluated across your full portfolio including FFS, Medicare Advantage, MSSP, TEAM, and commercial agreements in a single integrated view.
Quality-Validated Recommendations: every in-network destination is evaluated against quality thresholds using Patient Care Episode analysis before an opportunity is prioritized.
Meridian TEAM Success module: full CMS TEAM program management including episode tracking, quality threshold monitoring, target price forecasting, and reconciliation preparation.
Meridian MSSP Success module: core mechanisms include risk stratification, attribution management, utilization management, quality performance, HCC coding, and more. AI-powered root cause analysis with decomposed benchmark targets.
Managed Care
Financial clarity starts before the referral, not after the claim. Most revenue cycle tools arrive too late to matter.
Meridian gives your revenue cycle team the contract-aware intelligence to see how your realized rates compare to the market across your full payer portfolio, which codes sit furthest below the competitive benchmark, and what closing those gaps is worth in annual dollars.
What Meridian Does for Revenue Cycle
5.6 trillion price transparency rates: actual payer-specific rates, not blended averages. Meridian sees your rates, your competitors' rates, and every payer's spread between them, so you walk into a negotiation knowing the real market rate for every code.
Site-of-service misalignment: Capture $10–$20M in recoverable opportunity per health system from optimizing where services are delivered relative to your payer contract structures.
Contract negotiation intelligence: see how your referral patterns compare to market benchmarks and what competitors are accepting, giving you leverage in your next negotiation cycle.
Meridian’s delivery model includes dedicated senior consultants for contract analysis, managed care strategy, and payer-specific reporting.
Your existing contract data becomes more powerful, not replaced. Meridian adds the referral intelligence layer on top of your existing visibility, connecting contract economics to how and where care is actually delivered.
Business Development
Stop managing relationships without intelligence. Know exactly which visit matters most before you make it.
Practice liaisons and network relations teams are on the front lines of referral management, but most are operating without the intelligence to prioritize their time, prove their impact, or know which conversations are actually moving the needle. Meridian changes that.
What Meridian Does for Practice Liaison Teams
Practice-specific AI playbooks: a complete guide for each conversation, which in-network specialists out-perform where their volume goes today, what the referral data shows, what has been tried before, and where the practice's own workflow is sending patients somewhere nobody intended.
Addressability intelligence means every conversation on your list is worth having: no calls to practices where quality data does not support a change, where the in-network line has no capacity to absorb the volume, or where the practice is structurally locked.
Quality evidence physicians trust: Patient Care Episode analysis gives you condition-level outcome data that physicians and practice managers recognize as rigorous. The conversation is clinical, because the decision is clinical.
Real-time tracking from recommendation to claims-verified result: you get visibility into what actually changed in referral patterns, not just whether the conversation happened.
Proven engagement framework: a structured approach to getting quality and access information into physicians' hands, supported by liaison coaching from Clarify's engagement team.
Ready to See What Meridian Finds in Your Network?
Most health systems are sitting on $65–$100M in recoverable opportunity. The Meridian Opportunity Assessment shows you exactly where it is, broken down by leakage, APM performance, and site-of-service, before you make any commitment.