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Claims see what was billed. The Spend Graph sees what was bought.

Ask the Spend Graph.

How fast is the peptide market growing? Where do members go when they pay out of pocket instead of filing a claim? Which categories are underserved in a metro before you site the next clinic? The Spend Graph resolves every query at the transaction level across every merchant in the country, public and private — cash-pay and clinical-adjacent spend the claims record was never going to show you.

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Health care

How it works.

American Spend works with data providers to build Revere, a realtime model of American commerce. 3.7 billion transactions a month are aggregated and indexed by category, geography, and time.

Claims tell you what the insured population was billed for. The graph tells you what everyone actually paid for — and the gap between them is where the growth and the blind spots live.

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Health care

Who queries it.

Investors tracking obesity drugs and DTC pharma against real retail pull, weeks before earnings. Pharma brands sizing cash-pay categories and watching share of category move. Payers and PBMs measuring where members spend when they go off-formulary or off-plan entirely. Providers reading catchment and competitive pressure before they expand. Research agents pulling consumer-health ground truth as a tool call mid-reasoning.

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Health care

A new surface to build on.

Spend Market is our information market, where questions resolve against real consumer spending. Is cash-pay GLP-1 adoption still accelerating? Is Hims gaining on Ro? The economy is already settling these questions; Spend Market is the first place you can trade on them, and the data underneath is the same record you’d query. Take a view, hedge an exposure no index holds, or build on the resolved record directly.

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Health care

Talk to us early.

Payers, providers, pharmacy, benefits — bring your question about how America spends on care.