Embold’s mission is to give members clear, reliable guidance to the best doctors. This methodology explains how providers are evaluated using a balanced mix of clinical outcomes and cost efficiency, with statistical safeguards to ensure differences are meaningful. The result is a data-driven way for employers and health plans to raise care quality while reducing unnecessary costs.

Readers will see how Embold benchmarks nationally, allows for local customization, and evaluates providers across appropriateness, effectiveness, and cost. The guide also details how high performers rise in Provider Guide searches, how low performers are conservatively flagged, and how refresh cycles keep ratings fair. It’s a transparent look at the science behind Embold’s trusted recommendations—and how they lead to better outcomes and smarter spending.

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Embold’s goal is to steer members to high-quality, high-value providers. Doing so leads to better clinical outcomes, rarer use of low-value services, and lower total cost of care.Our program can support a variety of user preferences on how to balance provider quality against cost when evaluating providers. Our default recommendation is to treat them equally for both “low performers” and “high performers”by using our overall composite score.