See your savings

SAME NETWORK  ยท  SAME CARDS  ยท  BETTER CARE

Who decides what your care costs?

Right now, not you. These levers put the price back under your control, and your members get better care in the process.

THE PRICE NOBODY SHOWS YOU

Why does the same surgery cost three times more across town?

Same procedure, same outcome, same city. The difference isn't quality; it's what each facility negotiated, and neither number was ever shown to you or your member.

A network discount off an inflated list price isn't a price. It's a percentage off a number somebody made up.

Once you can see the real price, you can decide what to pay.

WHAT'S RECOVERABLE

11 to 17% off medical from steerage alone

15 to 30% off facility cost with reference-based pricing

30 to 50% off on cash-paid procedures

45% and ~$16,000 per planned surgical case

SIX WAYS TO TAKE THE PRICE BACK

Where would you start?

Each stands alone or stacks. Stacked, they produce negative trend rather than a smaller increase.

Steerage to better-rated doctors

Providers scored on 550+ quality metrics. 27% lower episode cost, 26% fewer inpatient days, 15% fewer emergency visits. Same network, same cards: 11 to 17% off medical.

Reference-based pricing (RBP)

Claims priced against a public, auditable benchmark instead of a discount off an inflated list price: 15 to 30% off facility cost, with advocacy defending the member.

Cash-pay, no networks

Direct payment to vetted providers at 30 to 50% off. Also covers imaging, which is where the same scan can vary tenfold across two facilities a mile apart.

Centres of excellence

Planned surgery at bundled prices: 45% and about $16,000 per case, at facilities with better outcomes than the local default. Travel included, member pays nothing.

Virtual specialty care

Musculoskeletal, women's health, cardiometabolic and behavioral in one app: 58% fewer surgeries, about $3,177 saved per participant, 3.2x validated ROI.

Payment integrity

Fraud, waste and abuse runs 3 to 10% of spend. Bill review and overpayment recovery return 1 to 1.5% of claims. Completely invisible to your members.

THE PART THAT SURPRISES PEOPLE

What do your employees give up?

Nothing. Every lever here lowers cost by improving what happens to the member: a better-rated surgeon, a diagnosis that arrives sooner, a prescription they can actually afford to fill. Cheaper care and worse care are not the same thing, and this is the difference.

Cutting costs shouldn't mean cutting value, and it doesn't have to.

THE HARD QUESTIONS

The ones a good CFO should push on.

What is yours actually costing?

Bring us your challenges. Tell us your goals. We'll model your actual spend at no cost and show you the mechanism behind every dollar.

See your savings