You recommended the tiered network, the transparent PBM, the point solutions. Trend still climbs — because employees can't see what to do when it matters. Outfox fixes that.
Employees get guided to the right tier, the right facility, the right decision — inside the plan you already built, at the moment they're choosing.
Walk in with contracted rate gaps from your client's actual MRF — not an industry benchmark. Numbers their CFO has never seen. That's a consulting conversation, not a sales pitch.
Employees ask Outfox first — copays, coverage, in-network options, Rx alternatives. The calls stop before they start.
Plan PDFs and an eligibility feed — that's it. No claims feed, no carrier integration, no rip-and-replace.
Stop quoting industry benchmarks. Walk in with the contracted rates from your client's actual plan — and a live view of what their employees are actually doing with it.
Aggregate engagement, steerage savings, and trend by service line — per client, in real time. Pull it up in renewals, QBRs, or whenever the CFO asks "is this working?"
Will this blow up our carrier deal at renewal?
No. Outfox uses publicly available Transparency-in-Coverage data the carrier already publishes. We sit on top of any network. Carriers stay; performance gets better.
How long until we see something?
Under 30 days from contract to live. We need plan PDFs and an eligibility feed. No claims feeds, no carrier integration, no rip-and-replace.
How do we prove it worked?
Live dashboard on guided decisions, site-of-care shifts, and modeled savings — built for the broker review meeting. You leave with the slide already made.
