Procedure Insight
Knee MRI Follow-Up
Current Plan $2,180
Optimized Plan $1,320
Insurance Procurement, Rebuilt
Cost-efficient health insurance procurement for companies of all sizes
Argentiv Health uses privacy-preserving claim intelligence to model the plan options that best match your workforce's recurring care needs.
Prescription Opportunity
Metoprolol Tartrate 50mg
Switch Savings +$540 / year
Provider Mapping
Care Radius Near 94107
Location Weighted for Commute + Continuity
THE PROBLEM
Employers are still selecting health insurance plans with incomplete claims visibility.
FEATURES
Argentiv Health optimizes plan savings for employers and employees through recurring-claims forecasting, prescription alternative intelligence, and privacy-preserving plan scoring.
Claims Intelligence
Argentiv models recurring chronic claims before renewal
The platform identifies high-probability recurring procedures, therapies, and medications to evaluate plans against realistic year-ahead utilization.
- Highlights repeat care likely to recur next year
- Quantifies expected employer and employee out-of-pocket impact
- Prioritizes plan options aligned to real care demand
Forecast confidence uplift
Plan fit improves for chronic claims
Claims Intelligence
Recurring chronic claims are modeled before renewal
Historical claim streams are converted into recurrence forecasts so plan decisions match likely year-ahead utilization.
- Recurring procedure and therapy continuity is prioritized
- Expected employer and employee costs are quantified
- Plan options are ranked by realistic chronic-care fit
Claims signal
Forecast confidence uplift
Optimization
Prescription alternatives are scored for savings potential
Generic, biosimilar, and same-indication options are mapped against plan design to reduce spend while preserving continuity.
- Switch opportunities reflect member willingness
- Savings are modeled at member and employer levels
- Formulary tier impacts are surfaced clearly
Formulary mapping
Medication spend compression
Privacy + Security
Aggregated insights protect individual claim privacy
Recommendations are produced from de-identified, population-level analytics so employers get clear guidance without personal disclosure.
- De-identification occurs before optimization output
- Employee-level details remain protected
- Employers still receive actionable procurement guidance
Provider continuity
Privacy-preserving analytics
VALUE
Creating Value Across the Health Insurance Continuum
Employer Value
Reduce avoidable premium spend with plan selections tailored to actual recurring utilization.
Employee Value
Preserve provider continuity and lower out-of-pocket burden for high-frequency care.
Procurement Value
Make renewal decisions from modeled outcomes, not generalized population averages.