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Find medical cost savings in minutes.
Fisher scans your full book of business and surfaces opportunities your plan can act on.
The problem
The problem
Medical costs keep climbing.
Health plans face growing cost and margin pressures, without corresponding improvements in patient outcomes.
There are opportunitiesto reduce medical costs.
Care can be delivered more efficientlywithout compromising quality.
Not all savings opportunitiesare within plan control.
Some cost drivers are shaped by providers and market forces. The goal is to maximize opportunities within plan control.
Finding actionable opportunitiestakes weeks to months.
Getting to insight requires manual analysis across data sourcesand back-and-forth between business and analytics teams.
Medical costs keep climbing.
Health plans face growing cost and margin pressures, without corresponding improvements in patient outcomes.
There are opportunities to reduce medical costs.
Care can be delivered more efficiently without compromising quality.
Not all savings opportunities are within plan control.
Some cost drivers are shaped by providers and market forces. The goal is to maximize opportunities within plan control.
Finding actionable opportunities takes weeks to months.
Getting to insight requires manual analysis across data sources and back-and-forth between business and analytics teams.
What Fisher does
Fisher is an AI analyst that finds actionable opportunities in minutes.
Fisher scans the full book, traces each trend to its root cause, and surfaces only what your plan can act on, ranked by dollars at stake.
What Fisher does
What Fisher does
01
Finds the opportunity.
Fisher sweeps the whole book, identifies actionable opportunities and ranks what it finds by dollars at stake.
02
Shows the work.
Every finding includes a full deep-diveinto the key trend, root cause, andevidence supporting actionability.
03
Recommends an action.
Each deep-dive closes with a recommended action mapped to a lever within plan control.
01
Finds the opportunity.
Fisher sweeps the whole book, identifies actionable opportunities and ranks what it finds by dollars at stake.
Est. opportunity $2.8M
Site-of-care steerage
There is an opportunity to steer more than 12,000 advanced imaging services to lower-cost sites.
Apply site-of-care criteria during prior authorization when a qualified in-network alternative is available.
$486 vs $266 plan paid per service
12,991 services with in-network alternatives
94.83% eligible spend sized
02
Shows the work.
Every finding includes a full deep-dive into the key trend, root cause, and evidence supporting actionability.
Specific trend driver
Hospital outpatient sites carry 35% of imaging volumebut 49.6% of spend, at $486 vs $266 per service.
Root cause & actionable lever
107,020 services qualify for redirection under plan rules;12,991 have a qualified in-network alternative nearby.
03
Recommends an action.
Each deep-dive closes with a recommended action mapped to a lever within plan control.
Recommended action
Direct eligible advanced imaging requests to qualified and available in-network alternatives.
Provider submits hospital outpatient request
Plan applies site-of-care criteria
Authorization directs to a qualified in-network site
Provider schedules the approved site
How it works
From connected data to a finding your team can defend.
Prioritize findings thatmatter for health plans
Cost trends
Meaningful financial impact
Within plan control
Prioritized finding
Provide evidence thatteams can validate
ReproducibleCalculations trace back to source data
AuditableEvery step laid out for actuarial sign-off
HonestDeclines when the data can't support an answer
FAQ
Common questions.
Who is Fisher for?
Teams that own medical cost at health plans and self-funded employers, and TPAs delivering cost management for the clients they serve.
We already know our main cost drivers. How is this helpful?
Plans readily know their large cost drivers, such as MSK, oncology and pharmacy. Fisher works underneath them, surfacing what is actually moving the number: the specific procedure, provider or care setting behind the trend. We surface and constantly refresh actionable opportunities, including those that rarely reach the top of the queue.
Will the insights actually be actionable?
We map every insight to the levers you control, such as care programs, utilization management, benefit design, network and contracting. We prioritize opportunities tied to actions already within your reach.
Acting on findings takes months anyway. What is the value of finding them faster?
Delays in acting on a trend usually come from the time spent working out what is happening and what to do about it. Fisher delivers each finding with its root cause and a recommended action.
Is my data secure?
Yes. Fisher adheres strictly to HIPAA and operates under a BAA, ensuring your data is safeguarded with the highest standards of security and privacy. More detail in our Privacy Policy.
How much does it cost?
Pricing varies by use case and scope. Book a demo and our team will walk you through the options.
Get started
Watch Fisher find an opportunity in minutes.
Book 30 minutes for a live demo.