Meet employees where they are
Choose an entry point employees can find through existing benefits communications.
SELF-FUNDED EMPLOYERS + TPAs
Make the next care decision easier.
Give employees a clearer path to care, and give benefits leaders a business case they can examine—assumption by assumption.
Benefits leaders · CFOs · TPAs · Benefits advisers
NeXtriage / IN MOTION01 / 05
A benefit that connects.
Turn a benefits touchpoint into a care journey
An accessible benefits entry point starts the journey.
ILLUSTRATED WORKFLOW
Illustrated benefit workflow. No savings or completed encounters are being reported.
Read the complete process
- Start where employees seek help. An accessible benefits entry point starts the journey.
- Bring the plan into context. Eligibility and network information help define usable options.
- Make the next step clear. Clinical review and available destinations inform the conversation.
- Keep the choice with the member. Confirm the selection instead of counting every referral as completed care.
- Bring evidence back to the plan. Review actual completion and comparable claims before reporting savings.
PRE-HOSPITAL DECISION SUPPORT + IN-FACILITY WORKFLOWSClinical review. Member choice. Clear evidence.
THE ESSENTIAL QUESTION
How should self-funded employers evaluate care navigation?
Start with employee access and the plan’s own claims. Define an eligible population, a clinically governed navigation pathway, and the full cost of implementation. Measure completed care and member experience before treating modeled savings as a financial result.
A WORKFLOW TO EVALUATE
Connect the decision to what happens next.
Respect the plan design
Confirm eligibility, network access, and benefit responsibilities with the TPA.
Test the economics
Reconcile program expense and observed outcomes using an agreed claims method.
GO DEEPER
Useful before your first demo.
BUYER GUIDE
Build a defensible care navigation business case
Questions, implementation considerations, and a pilot readiness checklist for employers & tpas.
↗INTERACTIVE PLANNERExplore a pilot break-even point
Use a hypothetical complete-episode benefit and total program cost. This arithmetic is not a claim of achieved savings or a price quote.
↗Questions worth asking.
Can we calculate savings from the price of one procedure?
No. A single procedure price can exclude visit, clinician, imaging, and other charges. Compare appropriately defined episodes, not isolated rates.
Can a TPA explore the platform for multiple employers?
The product includes payer and organizational workflows. Confirm tenant separation, reporting scope, and implementation support for each employer during a demonstration.