That’s an insightful question. Transcarent combines a direct care ecosystem of top-quality providers with one-stop digital access, trusted guidance, and unbiased information in one unified experience. We believe the direct provision of care is a key differentiator from the other firms you mentioned. And I’m curious about your perspective. 

Such a good question. We have created the new Health and Care Experience category, offering the only fully-aligned and fully-unified health and care solution in the market… and we offer transparency and full-risk pricing models. I am curious how that strikes your ears.

I can see how you would think that. Our member standard for Everyday Care is to chat with a doctor in 60 seconds or less, and it’s probably very similar to Teledoc’s. One big difference is that we combine high-quality, direct access that is affordable, and we make it work across the entire ecosystem – including both virtual and in-person, pharmacy, physical and mental health care into one. Can we go back and talk more about Teledoc for a moment? What has your experience been like working with them?

Thank you for being straight with me about that. If you think our science is faulty, we should talk about it. What concerns you about our data science methodology?

I’m sorry we missed the mark. Can you help me understand what’s not adding up?

It’s very hard to price without sharing data. The good news is that sharing data gets us both to a good place because our pricing, our shared savings model, and, ultimately our performance guarantees will all be based on the data analysis. We’ll give you insight and help you drive ‘appropriate spend.’ Can we talk about what specific data makes the most sense?

I hear you loud and clear. It’s just that as every month goes by, it’s costing money and an opportunity to provide better experiences and care for members. Can we talk about some ways we think we can accomplish this together?  

That’s a question we hear from time to time. It’s fair to say that our live and digital guidance navigates members to the right care at the right time and in the right setting. And we’ve found that isn’t enough. We also deliver care directly and take full clinical and financial accountability for that care. If you don’t mind me asking, may I ask how health navigation is working for you today? 

Thanks for raising this issue. We’re approaching surgery care differently. We’ve built a large, comprehensive network of surgical centers of excellence to delivery top quartile quality, put members back in charge, and do so as cost-effectively as possible. Many clients are combining surgery with other care experiences like msk and everyday care and seeing significant results not only with quality surgeries but with avoided surgeries, fewer re-admissions, and high member satisfaction. I’m curious, what metrics do you use to measure success in the surgery area?

It’s not the first time I’ve heard that. Are you thinking too many point solutions is the reason for the low engagement?  

That’s been our experience as well—too many point solutions drive low engagement, and it’s the reason we’re working so hard at Transcarent to provide members with one-stop for all their care. Can you say more about what you’ve experienced with engagement rates?

I appreciate that. When you say everything is bundled, can you break down for me the areas of care that you provide?

Health plans do often bundle. We’re working hard at Transcarent not only to deliver care but also to provide superior clinical and financial results for our clients and their members. Can you talk more about what you’re seeing in terms of measuring outcomes with your health plan?

I’m sensing you’ve got some passion around this. Can you say more about your hesitancy?

And I’m sure for some very good reasons. Would you be open to sharing the reasons?

I’d be happy to talk about ROI, and I would also be happy to connect you to some clients who have achieved ROI working with us. The ROI for our clients is typically based on working with us on full-risk pricing models, unified contracting, and predetermined metrics we use to calculate ROI. Can I ask how you currently measure ROI across your various vendors?

That’s good to hear. And when you say they are working on an integrated offer, can you share more about what specifically is being integrated?

Makes sense. At Transcarent, We (actually) integrate care across the entire ecosystem – including both virtual and in-person, pharmacy, physical and mental care. Is that the kind of integration your PBM is working on?

Makes sense. Rebates really do matter. We also work hard on program design with our clients to reduce or eliminate out-of-pocket costs to improve utilization, so your employees and their families get and stay healthy, happy, and productive. Can you say more about what you offer in rebates?

Telehealth is a big component of our clients’ benefit design, and it’s a main element of our everyday care experience as well. The big problem for clients we’re working to solve is we’ve seen that various point solutions don’t talk to each other or coordinate care, which leads to poor employee experience, unnecessary and inefficient care, and downstream costs. What’s been your experience with multiple vendors?

If both of those are true, I suppose we have little to talk about. Can you say more about Transcarent being more expensive and that people won’t use it?