Cut healthcare spend 15–20%
without cutting benefits
TrueTier gives HR and benefits teams the provider quality intelligence to steer members toward high-value care — reducing costs while improving outcomes for your workforce.
The problem every self-insured employer faces
You're paying for a network. You're not getting intelligence about who in that network is actually worth what you're paying.
Runaway healthcare spend
Employer healthcare costs have risen 6–8% annually for a decade. Most of that waste is invisible — high-cost, low-quality providers your plan is silently steering members toward.
No visibility into provider quality
Your broker gives you network access. Nobody gives you quality data. Without it, you're paying premium rates for providers who deliver below-average outcomes.
Members making uninformed choices
Employees pick doctors based on proximity and name recognition — not outcomes. A single high-cost, low-quality specialist can cost your plan $40K–$200K per episode.
How TrueTier drives savings
A four-part system that turns your claims data into a cost-reduction engine.
Claims-based quality scoring
We analyze your actual claims data — not national averages — to rank every in-network provider on cost efficiency, complication rates, and readmission risk.
Tiered network design
Tier 1 providers get lower cost-sharing. Members are financially incentivized to choose high-value care without restricting access to anyone in the network.
Continuous spend monitoring
Monthly dashboards surface emerging cost drivers before they become budget crises. Your benefits team gets actionable intelligence, not a 200-page actuarial report.
Broker & TPA integration
TrueTier plugs into your existing plan structure. We work alongside your broker, TPA, and PBM — no rip-and-replace required.
Your network, ranked by value
Every provider in your network gets a tier assignment based on their actual performance in your claims data — not national benchmarks, not star ratings from a third party with a conflict of interest.
- Cost efficiency relative to peers in the same specialty and market
- Complication and readmission rates for common procedures
- Appropriate utilization — no unnecessary tests or referrals
- Updated quarterly as new claims data flows in
Results from employers like you
Real outcomes from self-insured employers across industries and workforce sizes.
Challenge
Healthcare costs had grown 11% YoY for three consecutive years. The CFO demanded a plan-level solution that didn't shift costs to employees.
Outcome
After implementing TrueTier's tiered network, per-member-per-year spend dropped 16% in year one. The company avoided $2.1M in projected spend without increasing employee cost-sharing.
Challenge
A geographically dispersed workforce made network management complex. High specialist utilization in three metro markets was driving disproportionate claims.
Outcome
TrueTier identified 23 high-cost, low-quality specialists driving 38% of specialist spend. Tier redesign redirected utilization and saved $4.7M over 18 months.
Challenge
A highly compensated workforce expected premium benefits. The HR team needed to improve plan quality perception while controlling costs.
Outcome
TrueTier's transparent tier ratings gave employees confidence in their choices. Engagement with Tier 1 providers rose 44%, and the plan saved $890K in year one.
Live in 90 days
From signed agreement to active tiered network in a single plan year cycle.
Claims data analysis
30-day onboarding. We ingest 24 months of claims, score every provider, and deliver your baseline quality report.
Tier design & modeling
We model 3–5 tier configurations against your cost targets and member impact tolerance. You choose the design.
Member communication
Branded enrollment materials, provider lookup tools, and a member helpline — all included. Your employees understand their benefits.
Live monitoring & reporting
Monthly dashboard access, quarterly business reviews, and real-time alerts when high-cost patterns emerge.
See what TrueTier finds in your claims
Request a demo and we'll run a no-cost analysis of your top 10 specialty categories — showing you exactly where your spend is going and which providers are driving it.
No commitment required. Analysis delivered within 5 business days.