Smarter benefit design to guide care and improve outcomes

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. platforms.

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.

Our Solutions

Solutions that unlock better outcomes and lower costs

Network Optimization

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.

Embold Rewards

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.

Alternative Plan Design

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.

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.