Benefit Design & Incentives

Smarter benefit design to guide care and improve outcomes

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Advancing healthcare with data-driven benefit design that incentivizes care quality, lowers costs, and improves member outcomes.

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We don’t cut costs by limiting choice or making vague promises. We guide members to high-quality care using physician-level data, aligned networks, and smart incentives. Our approach helps employers, health plans, and providers create a system where great care is rewarded—and every member finds the right provider, every time.

High-impact benefit strategies for quality care and lower costs

We don't just measure quality. We redesign benefits to drive outcomes.

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Data-Driven

Surfacing the highest-quality, most cost-effective care with provider-level performance analytics.

Measurable Impact

Activating quality within existing networks to improve outcomes and reduce costs.

Incentivizing Decisions

Reinforcing high-value choices with rewards that motivate lasting behavior change.

Sharper plan performance

AlignedIncentives that support better outcomes.
OptimizedNetworks that eliminate unnecessary cost.
EffectiveMeasurable improvements across populations.

Proven, quantifiable results

5%decrease in annual medical spend.
10%savings in member out-of-pocket costs.
40%higher likelihood of members selecting high-performing providers.
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Our Solutions

Solutions that unlock better outcomes and lower costs

Network Optimization

Smartphone displaying a chat interface from Embold Health with a message: 'Hi, my name is Embold. I am here to help you find the right doctor. In a few sentences, tell me what’s up?'
Design quality-driven benefits and network constructs that balance access, quality, and cost.
  • High performer identification: Pinpoint top-performing providers by specialty and region.
  • Network efficiency: Steer members to in-network providers who deliver better outcomes at lower cost.
  • Custom strategy design: Align network configuration with your organization’s quality, access, and cost goals.
Two side-by-side maps of Florida on a laptop screen showing dense clusters of dark blue dots labeled Members and green dots labeled Featured Providers.

Embold Rewards

Search interface for finding a quality healthcare provider in Nashville, TN with options for Virtual Assistant, Primary Care, Pediatrics, Colonoscopy, Cardiology, Ortho-Joint, Dermatology, and Gastroenterology.
Encourage smarter care decisions by rewarding members for choosing high-quality providers.
  • Easily accessible: Use Provider Guide to find top-performing providers flagged for rewards and incentives.
  • Fast fulfillment: Gift cards delivered digitally within 10 days, creating immediate, positive reinforcement.
  • Seamless integration: Layered into existing benefits with minimal admin lift and full support from Embold.
Laptop screen showing a healthcare provider search page with sections for top searches like Primary Care, Pediatrics, and Colonoscopy, and a Rewards Program offering digital gift cards for seeing high-quality doctors.

Alternative Plan Design

Animated text message conversation on smartphone where user texts 'Find care' and receives options to select healthcare provider types.
Align quality-driven benefits with HRA based incentives designed to increase selection of high-quality, low-cost providers and further reduce medical trend.
  • Quality-aligned incentives: Simple benefit design changes backed by incentives to increase selection of quality care.
  • Action-earned HRA: An HRA that enables your employees and members to earn incentives for quality healthcare choices.
Computer monitor displaying data charts in the background with two large overlapping circles in the foreground; left circle is green with text 'Quality-Aligned Incentives' and right circle is dark blue with text 'Action-Earned HRA'.

Better design, smarter care, stronger performance.

Disconnected experiences, fragmented quality data, and misaligned incentives aren't working. We unify clinically validated insights with simple, incentive-driven benefit design—creating a cohesive approach that drives real decisions and measurable impact.

Higher-Value Networks
Reduced Waste
More Informed Decisions
Greater Engagement
Systemwide Impact

Ready to design networks for impact?
Build stronger networks that reward better care.

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Publications & Certifications

Blogs and Articles

The High Cost of Getting It Wrong: Why Provider Choice Matters More Than You Think
Moving Beyond the Portal: Why Generative AI Delivers Where Portals Have Plateaued
The Path to Personalization: Transparency and Partnership as Catalysts for Better Healthcare
A Note from our President and Founder

Driving measurable savings

Smarter healthcare navigation improves care quality and bends the cost curve, creating measurable ROI for employers.

Download the Case Study

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See if we can improve the health outcomes of your employees. It only takes 15 minutes.

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