Pricing Strategy Opportunity to expand conversations with health plans and employers about RBP solutions, leveraging ClearHealth’s Medicare-based rate model to address rising medical trend and negotiate fair, transparent pricing across various plan structures.

Network Flexibility Target self-funded employers and PEOs with options for out-of-network, narrow network, full PPO replacement, or partial PPO replacement to optimize claim reimbursements and control medical costs.

Tech Enablement Leverage ClearHealth’s digital stack (AEM, WordPress, analytics) to partner with client-facing platforms, CMS implementations, and marketing automation to drive streamlined adoption of RBP programs.

SMB Focus Capitalize on a smaller organizational footprint (11-50 employees) by positioning scalable pricing strategy and rapid deployment of RBP solutions for mid-market employers seeking cost certainty.

Consulting Synergy Engage with TPAs and employer groups to offer best-in-class, Medicare-based reimbursement guidance, expanding cross-sell opportunities into provider inquiries management and claims support services.