Platform
From the problem to the vendor that fits.
01 / 04 · See the problem
Condition maps
What you get
- Each member placed in one of fourteen care segments, with the type of care team best placed to manage it, such as primary care, oncology or hospice
- Spend and hospital and emergency-room use by segment, labeled as addressable spend, not savings
- Program fit: which current programs serve which segments, with overlaps and gaps shown
- How firm each placement is, with definite and probable evidence shown separately
- A dated baseline that later programs can be measured against
Condition maps work from claims and eligibility data, and we agree how that data is handled with each customer before any is shared.
We're building the first condition maps with early customers. Talk to us if you'd like to be one.
02 / 04 · Find the options
Options guides and finalist comparisons
Start from a problem
An options guide
- The options, ordered by how directly each acts on the cost
- The trade-offs: what each saves, shifts to members, and asks of the plan
- Who delivers each option, held to the same evidence standard
- The unknowns that would change the answer most
Narrow the shortlist
A finalist comparison
- Each vendor held to the same evidence and assumptions
- Real savings and cost shifted to members, side by side
- Where the finalists differ on operating fit, risk flags and what each needs from you
03 / 04 · Check the vendor
Vendor analysis
| Part | The question it answers | What you see |
|---|---|---|
| The facts | Who is this company? | Ownership, funding, named clients, how it delivers care, and whether a security attestation shows up in the public record, each with its source |
| The evaluation | Does the evidence hold up? | Clinical, financial and operational findings, read against independent studies rather than the vendor's own, with common pitfalls checked |
| The scrutiny level | How closely should we look at this vendor? | LightModerateElevated With the specific flags behind it. The level shows where to look hardest; it isn't a grade. |
| The savings range | What could this save a plan like ours? | A range across the choices you control and how members respond, real savings kept apart from cost shifted to members, or a plain note on why it can't be estimated yet. See a sample |
| The questions to ask | What do we still need to know? | Questions for the vendor, for you, and for both together; inputs only you or the vendor can supply are listed, not guessed |
How it works
- Pick a vendor from our catalog of 1,100+ vendors and 2,200+ capabilities, or request one we don't have yet.
- Choose one of eight buyer profiles, from small self-funded groups to health plans, or enter your own population's figures. No claims data is needed.
- Get the analysis, with a one-page summary on top.
Say a customer asks about an episode-bundling vendor that markets double-digit savings. The analysis shows how much of the advertised drop in the bill is a real saving and how much moves to members, and lists questions for the vendor, such as whether the guaranteed price covers each professional, facility and ancillary charge. The vendor's figure is shown as the vendor's claim and isn't used in the estimate.
Anyone on your team can run one; no analyst or clinical background is needed.
04 / 04 · Measure results · Where we're headed
Results measurement
01
A forecast will be set before the program starts
02
A dated baseline will come from your condition map
03
Results will be scored on your claims afterwards, with the common traps handled
04
Each result will become the baseline for the next decision
Product sheets