For Payers

Better nutrition outcomes. Lower total cost of care.

Built for SSBCI compliance post-VBID sunset, the CY2027 Stars Health Equity Index bonus, and the Medicaid HRSN waiver surface.

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Strategic ROI

Better outcomes,
lower total cost of care.

We provide the actuarial infrastructure that allows payers to move beyond pilot projects into scalable, longitudinal nutrition and behavior interventions.

Medical Cost Offset (MCO)

1.5:1 — 3:1

Verified reduction in 30-day hospital readmissions and sub-acute escalations for CHF and CKD cohorts.

Stars Revenue Delta

+0.5 pts

Direct impact on HBD (A1c Control) and CBP (Blood Pressure) measures through consistent nutrition delivery.

Member Retention

+22%

Higher plan stickiness through a high-trust digital front door and consistent clinical support.

Enterprise Ready

RxPulse operates as a headless clinical layer, integrating into existing care coordination workflows without multi-vendor overhead.

  • Medicaid Section 1115 HRSN Waivers
  • Medicare Advantage SSBCI Benefits
  • NCQA-Aligned Quality Reporting
  • FHIR® R4 Interoperability
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