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What We Do

Evaluating TPAs, PBMs & Other Vendors

The healthcare vendor landscape is deliberately complex. Many TPAs, PBMs, and other service providers build their business models around opacity—profiting from spread pricing, hidden fees, rebate retention, and contractual complexity that makes true cost analysis nearly impossible.

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Our Approach

01
Forensic-Level Scrutiny

We bring forensic-level scrutiny to vendor evaluation. This includes line-by-line contract analysis to identify compensation mechanisms that create perverse incentives, benchmarking administrative fees against industry standards adjusted for your plan size and complexity, analyzing claims data to measure actual performance against contractual guarantees, and evaluating vendor technology platforms for data accessibility, reporting capabilities, and integration with other plan components.

02
Our Vendor Recommendations

Our vendor recommendations prioritize three criteria: incentive alignment (does the vendor profit when your costs decrease?), transparency (do you receive 100% visibility into fees, rebates, and pricing?), and performance (does the vendor deliver measurable improvements in cost, quality, or employee experience?).

03
Renegotiate or Transition

When we identify misaligned vendors, we either renegotiate contracts to introduce transparency and accountability, or we orchestrate transitions to vendors whose business models support your objectives rather than undermine them.

04
The result?

You gain vendor partners who function as true fiduciaries—contractually obligated to act in your best interest, compensated in ways that align with your goals, and measured on outcomes that matter to your organization.

Ready to Rethink Your Healthcare Strategy?

If your current health plan feels more like an unavoidable expense than a strategic asset, let's explore what's possible when incentives align, data becomes transparent, and fiduciary responsibility drives decision-making.

We begin every engagement with conversation, not quotation—because meaningful change starts with understanding where you are and where you want to go.

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Healthcare strategy