Measured in your own claims after year one. If savings come in under 2x, we refund the shortfall, up to 100% of fees. Our actuarial model expects 4.7x.1
Request the termsMembers who enroll against matched members who don't, on prior GI spend, total spend, age, sex and plan.
GI claims in the 12 months after enrollment against the 12 months before: ED visits, imaging, endoscopy, specialist visits and total GI cost.
An independent actuary runs the agreed method once claims are in. Under 2x, we refund the shortfall.
Every eligible member can enroll. The same analysis can be published with you as a claims study.
No PEPM, PMPM or implementation fee. Software-delivered care keeps our cost per member low, which is why we can put our fees on your claims.
Method, minimums and data schedule, for your claims team.
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