Self-Funded Plan Cost Analysis

What could risk-adjusted outcomes data + multi-opinion infrastructure save your plan?

Submit your plan basics. We'll build a customized savings model — $500-$1,000 per employee per year is typical. SurgiQuality uses two-component pricing (platform fee + per-case admin fee); platform fee is waived for qualifying employers under shared savings. One email back from Sanjay Prasad with the numbers and an optional scoping call. No commitment.

What you'll receive

Year-1 savings estimate — modeled against your plan's covered lives and surgical-spend baseline
Year-3 savings projection — assuming standard member adoption curve
Recommended pilot framework — typically 6-month limited deployment with measurement against control
Methodology white paper — 25-page PDF documenting the risk-adjustment framework
Optional 20-minute scoping call with Sanjay Prasad, MD FACS — founder, retired surgeon

How the savings work

Risk-adjusted outcomes data — members see surgeon-level quality data validated against the surgeon's own EMR (where available)
Multi-opinion infrastructure — second and third opinions accessible through the platform before scheduling surgery
Cross-specialty consultation — non-surgical specialty input on procedures where alternatives exist
Plan-level reporting — quarterly aggregate utilization, savings, and outcome metrics
Member-driven choice — patient-initiated, not platform-directed

Get the cost analysis

Twelve fields, four required. Sanjay will respond directly within one business day.

First name*
Last name*
Work email*
Firm or company*
Your role*
Self-funded plan?*
Our pitch is structured for self-funded plans. Fully-insured plans aren't the right fit.
Total covered lives across plan(s)*
For a single employer, the plan's enrolled employees + dependents. For brokers / TPAs, the aggregate across self-funded clients.
Annual medical plan spend (approximate)
Primary state(s) where members are located

Plan demographics (e.g., 'TX, OK, AR' or 'national, concentrated DFW + NJ-NY metro').
Current TPA or health plan

Who administers the plan today (e.g., Aetna ASO, Cigna Indemnity, BCBS, Meritain, etc.)? Helps us understand integration needs.
Plan year / renewal timing
What are you trying to solve? (optional)
A one-line description helps us tailor the response. Examples: 'cost trend pressure ahead of 2027 renewal,' 'evaluating new vendors for QBR conversation,' 'CFO asked for measurable ROI on benefits investments.' Do not include identifying information about specific employers or members.

Want the methodology document first, before sharing your plan numbers? Request the white paper at surgiquality.com/legal/methodology. Or email [email protected] for a no-data-shared scoping conversation.