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MTR GROUP

For providers

Know what your payers will do next.

Network, contract, and risk decisions depend on where payers are heading. MTR shows the competitive pressure on every payer in your service area, so you negotiate with the future in view.

How the study works from your seat

Model every carrier competing for lives in your counties, test how each one holds under pressure, then separate durable position from exposed position.

Model

See the payers, not just your contracts.

Every Medicare Advantage carrier competing in your service area, county by county, with its modeled posture and the market's own evolution, rather than only the two or three already at your table.

War-game

Know the pressure before you negotiate.

Test how each payer's position in your counties holds under the moves the field is likely to make, so you walk in knowing which of them needs your network and which is preparing to retrench.

Stress-test

Separate a strong partner from an exposed one.

Payer positions are scored across thousands of worlds, each one a complete version of your market with every carrier's move in it, for durability, how much of a position survives when the field responds. That distinguishes a carrier that is genuinely established in your market from one holding a position it cannot defend.

4 releases, keyed to your payers' calendar

Medicare Advantage runs on a fixed CMS clock. Knowing where each payer sits on it is what makes the timing of a conversation worth something.

  1. October

    The field reveals itself

    Landscape and Star Ratings publish. You learn which carriers are entering, expanding, or pulling back in your counties for the coming plan year, at the same moment they do.

  2. January – February

    Your payers start planning

    Share movement from the selling season is decomposed and proposed rates run through the competitive field. A payer that learns it is squeezed here is a payer that becomes reachable.

  3. April

    The window that decides their year

    Between the Rate Announcement and the June bid lock, carriers set benefits and county economics. What a payer can afford to bring to your patients is decided in these weeks.

  4. July

    Footprint decisions

    Bids are locked and attention turns to next year's map: which counties each carrier files for, and which it leaves. Your service area sits on that map.

Where it lands inside the system

One study, read for the decision each function owns. The board is the same; what you take from it is not.

Managed care contracting
Which carriers need your network in which counties, and when their position is weakest.
Network and service line strategy
Where Medicare Advantage lives are likely to concentrate, and which carriers will be carrying them.
Value-based care
Which partners hold durable position in the markets where you are taking risk.
Finance and actuarial
How exposed your payer mix is to a carrier retrenching in your service area.
Strategy and business development
Which counties are worth expanding into, given who else is competing for the same lives.
Marketing and growth
Where Medicare Advantage growth is heading in your catchment, county by county.

What you are buying

A standing view of the carriers who decide what Medicare Advantage looks like in your catchment, refreshed on their calendar.

Every payer in your service area

Coverage runs to every carrier competing in your counties, not only the ones you already contract with, so a carrier positioned to enter is visible before it arrives.

No PHI, nothing to integrate

Built entirely from public data. Nothing connects to your systems, which takes security review, data agreements, and IT scheduling off the critical path.

Reproducible enough for a board packet

Every figure traces to the run, model version, and dataset that produced it, so a finance committee can check the chain rather than take a number on faith.

A standing view, not a one-time study

4 releases a year against the calendar your payers actually run on, so a negotiation in March is informed by a release that landed in February.

MTR Latitude Study map of Texas: a connected span of counties running from the Dallas and Fort Worth area south through Austin to the Gulf coast, shaded by simulated competitive posture
MTR Latitude Study · Texas, Dallas to the Gulf coast, simulated 3 years ahead

See it run on your market.

A live walkthrough of the Latitude Study on the counties that matter to you.