Competitive Intel

Competitive Intelligence for Health Plans

We deliver critical market insights, empowering health plans to make strategic decisions that solidify, enhance or establish their competitive standing in the marketplace.

Competitive Intel for WellSense

When WellSense faced an unexpected vacancy in a key role, Penstock stepped in to perform a detailed competitive analysis in the target region, identifying gaps in available data and conducting tailored market research, including “anonymous shopping” to assess consumer preferences and needs.

What We Do

Comprehensive Competitive Intelligence

Data Collection

We simplify the complex process of gathering and analyzing competitive data, extracting hard-to-find data buried in Division of Insurance websites and CMS public use files. Redacted competitor files? No problem. We’ll gain access legally via Freedom of Information Act (FOIA) requests.

Comprehensive Analysis

Over 100,000 data points analyzed per state/region, covering cost shares, copays, and more across five critical categories: Benefit Review, Legal Compliance, Pharmacy Structures, Network, and Rating Pricing.

Data-Fueled Recommendations

Armed with a robust foundation of meticulously gathered and analyzed data, we deliver actionable recommendations to guide you through optimizing plan designs and rates while ensuring legal compliance.

Don’t simply refresh the portfolio you offered last year

Win more members with accurate intel and recommendations—perfect for:

Automated Regulatory Filing

Our intelligent SaaS solution ensures a seamless and simple user interface for filing success through automated, real-time access to state guidance, streamlined integration and dissemination of binder, form and rate filing deadlines and requirements.

Why Your Health Plan Needs Competitive Intelligence

Time Savings

Facilitates long-term business planning, including resource allocation and product development strategies.

Strategic Planning

We can teach your team how to quickly identify and correct overpayments and implement edits that prevent recurring errors and minimize member disruption.

Brand Recognition

Enhances your marketing strategies, increasing visibility and attractiveness of your plan offerings on platforms like healthcare.gov.

Operational Excellence

Provides insights into membership trends, pricing competitiveness and overall market performance, driving better operational decisions and improvements.

Get Inspired

Explore regulatory compliance insights and tips for health plan growth and success.