By The Numbers.
Solving the three biggest costs in healthcare.
- 65% reduction in pharmacy costs to self-funded employers
- Direct Rx contracts with 90% of pharmaceutical manufacturers
- Brand name and specialty medication Rx sourcing for pennies on the dollar outside of PBM contracts
- 15-20% reduction in a self-funded employer’s total health costs
- 7% reduction in self-funded employer costs through identification and recovery of capital based on improper provider payments using AI, machine learning technology
- Meeting employer ERISA fiduciary responsibilities that less than 5% of employers are aware of
- Ensuring provider payment integrity ongoing
- Invaluable technology to TPAs, insurance companies and entities adjudicating medical and Rx claims
- Ability to forecast health costs based on AI analysis of individual health encounter
- Invaluable to TPAs as a resource for reporting metrics
- Invaluable to TPAs in formulating direct provider contracts based on predictive surgery volume
- Invaluable to self-funded employers for setting proper reserves and engaging medical management to pursue cost mitigation ahead of time
Meet our expert team.
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