How Vault works
One company behind every part of the plan.
Vault covers risk, underwriting, administration, data, clinical support, and employer services. Because one company runs all of them, members and employers deal with one team instead of many vendors.
What the member sees
- Member experienceEducate · Navigate · Prevention · Protection · Optimization
- Care and supportVault Cares Network · Vault physicians · Founders Club · GARM · VaultOS (in development)
- AdministrationClaims · eligibility · billing · customer service · reporting
- Risk and pricingCaptives · underwriting · plan design · funding
- Employer riskWorkers' comp · CES HR and Safety · workplace safety
What Vault runs behind it
The difference
Most plans are split across separate vendors. Vault keeps them together.
A typical plan
Eight separate companies. The member connects the dots.
Split by function
Each company may do its own job well, but no one owns the whole picture. Data and accountability are divided, and the member is left to sort it out: one company processes the claim, another prices the risk, another manages the drugs, and another answers the phone.
A Vault plan
Vault runs every part, with shared data and one accountable team.
Built around the member
Every part of the plan shares the same data and works toward the same goal: better care decisions for the member, and lower costs for the plan as a result.
How Vault grew
Each company was added to solve the last one's limits.
Better pricing needed better underwriting. Better underwriting needed better claims data. Better data made it possible to help members with their care.
Fund the risk
Vault CaptivePrice the risk
Vault MGURun the claims
Vault Admin ServicesConnect the data
VaultOS (in development)Improve care
Vault Cares Network and clinical support
For members
The basics done well, and more on top.
Reliable administration is the starting point. What sets Vault apart is the support built on top of it.
The basics
What every plan needs
- Eligibility and enrollment
- Claims processing and payment
- Customer service and escalation
- Billing and reporting
- Underwriting, pricing, and risk management
What Vault adds
Support most administrators don't offer
- Personal guidance through VaultOS (in development)
- Access to Vault physicians and clinical expertise
- Vault Cares Network help with second opinions and complex care
- Founders Club prevention and wellness programs
- Longevity resources through our partner GARM (Global Alliance for Regenerative Medicine)
Why it lowers cost
Better care decisions lower plan costs.
Helping each member make better decisions about their care is also how the plan saves money. Across a whole group, those decisions add up.
Understand
Look at claims, pharmacy, eligibility, records, labs, and member conversations together.
Step in early
Flag risks and gaps in care before they become expensive.
Navigate
Point the member to the right provider, facility, treatment, and drug.
Improve
Avoid unnecessary care and help members make healthier choices.
Add up
Better decisions across the group improve results and keep benefits affordable.