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You are at:Home»Health»XO Health Launches Next-Generation, Value-Based Care and Benefits Platform for the Self-Insured Market
Health

XO Health Launches Next-Generation, Value-Based Care and Benefits Platform for the Self-Insured Market

January 8, 2025006 Mins Read
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ALPHARETTA, Ga., January 8, 2025 /PRNewswire/ — This launch will enable XO Health to offer its value-driven provider network and comprehensive benefits administration offerings to its customers. Atlanta, Dallas, HoustonAnd Minneapolis.

XO Health Logo
XO Health Logo

XO Health is redefining how healthcare is delivered and paid for by dramatically expanding access to value-based care through new, advanced payment models and a modern technology platform that completely rewires operations and delivery health plans. XO Health’s suite of solutions includes:

  • A network of service providers under independent contract, built on trust and autonomy, enabling streamlined prior authorizations and patient billing, and putting the direction of care and decision-making in the hands of physicians and their patients.

  • Unique risk underwriting engineenabling pricing and management of forward-looking, episode-driven “care packages,” providing unprecedented transparency and predictability of medical and pharmaceutical costs and opportunities to improve outcomes.

  • A secure real-time data and analysis platform, optimizing cost and quality outcomes and ready to deploy the most innovative developments in generative AI and automation.

  • An integrated experience for members and suppliersenabling seamless, high-touch transactions and interactions for plan members and providers through AI-enhanced workflows and omnichannel access.

XO Health was founded by an industry veteran Swati Mathaiwho previously worked at UnitedHealthcare and Elevance Health, and has worked for more than 25 years with market-leading self-insured employers in the Fortune 500. “The interests of all are poorly served by the large health plans in place today – the Employer costs continue to skyrocket as they face growing fiduciary exposure, providers are mired in endless bureaucracy, and plan beneficiaries are stuck in the middle just trying to meet their own health needs. at a lower cost – and basically no one trusts each other to do the right thing,” said the founder and CEO of XO Health. Swati Mathai. “New solutions like XO Health have the advantage of a blank canvas: we took advantage of this opportunity to deploy a new approach that sustainably aligns everyone’s interests in the search for better care, better health and a reduction in costs.

The company has assembled a team of industry-leading experts in value-based health and care plan design. They also hired a wide range of advisors, including former corporate benefits executives who have been at the forefront of employer-led innovation in health care.

Hassan Azarwho is a former benefits executive at US Foods and Kraft and has advised the company since its inception, said: “Due to inflationary dynamics, self-funded employers are forced to be price takers instead of price takers. be market makers. With XO Health, employers finally have a benefits solution built around the needs of their business and employees, with a conflict-free partner committed to improving plan performance.

In addition to working directly with self-insured employers, XO Health also announced partnerships with level financing plans and TPAs, including Decent and S&S Healthcare, which will offer the XO Health network to their employer customers. These contracts highlight XO Health’s ability to deliver more competitive pricing and better outcomes to employers of all sizes.

“We saw an opportunity in XO Health to support our direct primary care network with a like-minded partner capable of offering our members broad and seamless integration of specialty care as their care needs evolve,” declared Nick SomanDecent CEO and founder. “We are attracted to XO Health’s unique approach to value-based care and their network will provide a full range of highly effective specialty care at a lower cost with better outcomes for our members.”

“As health care costs continue to skyrocket, it is critical that we introduce new options for our health plan and employer clients to help them manage their expenses and those of their members,” said Vincent EspositoCEO of S&S Healthcare. “Partnering with . »

Working with TPAs ​​to reach employers and their employees at scale represents a crucial step forward in creating a more transparent, accountable, and high-performing healthcare system that can be universally trusted. To this end, XO Health has focused on expanding access to care by integrating best-in-class digital and direct-access networks for behavioral health and women’s health into its network offering. XO Health also strengthens access to primary care through partners like Hint Health, which onboards thousands of non-traditional primary care physicians into the XO Health network.

“XO Health shares our commitment to improving care delivery and strengthening the doctor-patient relationship,” said Zak HoldsworthCEO of Hint Health. “This collaboration allows us to expand the reach of Hint’s direct primary care network, Hint Connect, through XO Health’s innovative approach. Together we can ensure wider access to high-quality primary care.

XO Health has secured funding from institutional and private investors, including Thurston Group and Sea Court Capital. Jim DeNautmember of the board of directors of XO Health and managing partner of Sea Court Capital, said: “It is rare to find a management team that has such deep experience in health plan operations and has also at the forefront of payment reform and value-based care. We immediately saw the potential of XO Health and are delighted to be the lead investor in the company. It’s incredibly rewarding to see the company sign up its first customers and go live with its launch. »

After the initial launch in four markets, XO Health plans to expand its geographic presence by bringing its innovative healthcare solution to more customers across the country. The company will also continue to enhance its data and AI-enabled technology infrastructure to maximize the impact of its platform. This includes optimizing plan value, improving episode pricing, and improving the member and provider experience.

About XO Health
XO Health is a revolutionary value-based care and benefits platform with a mission to bring trust, transparency and common sense back to healthcare. Built on a foundation of real-time data and analytics and offering a broad range of solutions, the XO Health platform drives excellence across the entire healthcare ecosystem. With an unrivaled team of experienced leaders from diverse fields, XO Health is uniquely positioned to disrupt the healthcare landscape and deliver the transformative change the industry deserves. To learn more, please visit www.xohealth.com.

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SOURCE XO Health

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