[MJR]

How are you going to compete with insurance companies who have all of the data, existing relationships will their entire networks of providers and pre-existing negotiated rates with providers? Insurers are already creating local provider specific networks to serve this type of need and they have the largest incentive to drive procedure costs down - because it allows them to drive their rates down, increasing business or accounting for the losses they're suffering due to the ACA.

How will you protect your business when they decide to cut out the middle-man(you) and begin working with their networks directly to renogotiate procedure costs and kick-back discounts to employers for using these selective Cost+Quality networks? Truth is they're already doing this.

EDIT: My points may be moot - Are you only working with self-insured companies? That's the only thing that makes sense here given that you're splitting costs with the employer.

[thetakach]

Yes, that's exactly right. We help self-insured companies build high-quality narrow networks.

[Ntrails]

Based on the article you seem less interested in "High Quality" than in "Cheap". Similarly, a high quality and narrow channel without travel seems extremely counter-intuitive.

The premise of centres of excellence is that paying fair rates for top quality providers gives better outcomes over the long term and reduces overall costs to the company - not specifically the procedure costs.

Medical care free at point of use is one of the best things to aspire to in the world imo, I'm just trying to make sense of your model.