Independent analysis of health vendors and programs
Confidence before you commit to a health vendor or program.
Why this matters
Most of what a plan knows about a vendor comes from the vendor.
40%+
of employers manage eight or more digital health vendors.
$580K
is about what the median employer spends a year managing digital health vendors.
Source: Solera Health, April 2026
01 / 03
Programs overlap, and some members fall through.
Musculoskeletal care, diabetes, specialty drugs, navigation, bill review. Some members are claimed by several programs while others aren't reached at all, and spend is hard to tie to anyone accountable for it.
02 / 03
The evidence usually comes from the vendor.
Case studies and ROI figures are typically the vendor's own, measured on the vendor's terms: which members count, what they're compared against, and over what period. An analysis shows the vendor's figure, labeled as theirs, and builds its estimate from independent evidence.
03 / 03
Checking it takes specialist time.
Procurement teams can compare prices and contract terms. Testing a clinical study or a savings model is harder, and programs are rarely measured against what was promised.
The cost shows up later: a program that renews on a promise but doesn't move the claims line, savings that turn out to be cost moved onto members, or members no program reaches. We help teams base these decisions on evidence, from the first question to the result.
How it works
One independent method at each step of the decision.
Most people start with a vendor someone named. You can also start from a problem, such as a condition or a cost driver.
Sample output · illustrative employer (1,000 employees)
How much of a promised saving is real.
Fall in the bill · standard choice, base response
$445K
per year, before fees
Real saving
$203K
members moved to a cheaper provider
Moved to members
$241K
members stayed and paid the difference
Rows · What the employer choosesColumns · How the world responds | Highwide price spread; most members who face a difference switch | Basethe studies' average effect | Lowprices close together; most members stay and pay |
|---|---|---|---|
| Light touchallowance at the 90th percentile; annual notice; regular cost-sharing | $249K 2.1% of medical · $11 PMPM | $178K 1.5% of medical · $8 PMPM | $107K 0.9% of medical · $5 PMPM |
| Standard75th percentile; active communication; lower cost-sharing at or below | $622K 5.3% of medical · $27 PMPM | $445K 3.8% of medical · $20 PMPM | $267K 2.2% of medical · $12 PMPM |
| Aggressive60th percentile; outreach at referral; $0 at or below | $996K 8.4% of medical · $44 PMPM | $711K 6.0% of medical · $31 PMPM | $427K 3.6% of medical · $19 PMPM |
- saved — the member moved to a cheaper provider
- moved to members — stayed and paid the difference
Sample output · illustrative employer · 1,000 employees
How to read itEach cell splits the fall in the employer's bill into real savings and cost moved to members. Vendor-stated figures are shown but never counted.
Who it's for
We work for the people who carry the risk of a health plan, and the advisors they lean on.
Anyone on your team can run a vendor analysis; no analyst or clinical background is needed. It supports the work your team already does, and the decision stays with you.
How we keep it honest
We work for the buyer.
No pay to play.
We take no money from vendors: no sponsorships, no paid placement, no paid listings or rankings. Who requests or pays for an analysis doesn't change what it says.Sources for the facts.
Each fact is sourced and dated, and we call out the assumptions that matter most.Vendor claims kept separate.
If a vendor advertises a savings figure, we show it, labeled as the vendor's claim, and never count it. Our estimate is built from independent evidence.Estimates you can check.
Each savings estimate states its year and its assumptions, is shown before fees, and names a result in your own claims that would show it was wrong.
Questions we hear
The questions you'll get asked internally.
Is there any pay to play?
No. We take no vendor money of any kind: no sponsorships, no paid placement, no listings or rankings for sale. A vendor can't buy its way into our catalog or into a better analysis.Is this a ranking, or a recommendation to buy?
No. It gives your team the evidence, the risks and the questions to ask. The decision stays with you.Do I need to send claims data?
Not for a vendor analysis. You tailor it by choosing a buyer profile or entering your population's figures, with no PHI and no claims data. Condition maps work from claims and eligibility data, and we agree how that data is handled with each customer before any is shared.Why not just ask a general AI chat tool?
A chat tool's answer depends on how the question is asked and can change from one day to the next. We run the same expert workflow on each analysis, with sourced inputs and built-in checks. AI does the reading; the method and the checks are actuarial.Does this replace our RFP process or our consultants?
No. It's software your team uses inside the process you already run: to screen vendors before a shortlist, to prepare questions for finalist meetings, or to back a recommendation with something a client can read. Your team keeps the relationships and the decisions; the software does the research and a consistent first read.
AI-enabled software, built with risk-bearers and their advisors as design partners.
Get started
Talk to us about an analysis on a vendor you're weighing.
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