For self-funded organizations, healthcare spend is no longer driven by a single pressure point. Medical claims continue to rise. Pharmacy costs are evolving rapidly and unpredictably. Payment integrity issues quietly erode savings long before they are visible on a balance sheet. At the same time, employers are being asked to make increasingly complex decisions in a system that often feels fragmented, opaque, and difficult to explain.
What was once manageable through traditional benefit designs and established structures now requires a far more intentional, informed, and adaptable approach. Cost containment is no longer about isolated solutions or short-term fixes. It is about how well the entire system works together, how clearly it can be communicated, and how responsibly it supports both financial sustainability and the human experience.
The challenge is not a lack of options.
It is a lack of alignment.
We believe it is possible to be large enough to manage complexity and deliver meaningful cost savings, while remaining intentional, responsive, and deeply invested in the employers and employees we serve.
The fact of the matter is that healthcare cost containment deserves more.
That belief is the foundation of Healthcare Cost Containment, AMPLIFIED.
AMPS was built on the understanding that healthcare cost containment is not about cutting corners or chasing short-term wins. It is about designing a system that works smarter, communicates better, and delivers sustainable savings without losing sight of the people behind the claims.
Our philosophy is grounded in a few core truths:
This approach is guided by AMPS' core values, including accountability, adaptability, collaboration, excellence, innovation, and a deep respect for the people and partners we serve. These values are not aspirational statements. They are operational principles that shape how we build solutions, support partners, and advocate for members.
Healthcare is personal.
Cost containment should be thoughtful.
This philosophy comes to life through a coordinated, three-solution approach designed to amplify every aspect of healthcare cost containment.
Healthcare Cost Containment, Amplified comes to life through AMPS' three core solutions. Each addresses a distinct area of healthcare spend while working together as a collective. They are powerful on their own and even more impactful when aligned.
PriceDynamix
Medical claims represent the largest and most complex component of healthcare spend for self-funded organizations. While many plans focus on managing utilization or negotiating rates, the underlying challenge often lies deeper in how medical services are priced, evaluated, and reimbursed across diverse markets.
Healthcare pricing is not uniform. Costs vary significantly by region, provider type, and service setting, yet many traditional approaches rely on broad benchmarks or static formulas that fail to account for these differences. This disconnect can lead to inflated costs, strained provider relationships, and confusion for members who are left navigating unclear or inconsistent outcomes.
PriceDynamix was developed to address this complexity with intention, nuance, and members in mind.
Rather than applying a one-size-fits-all methodology, PriceDynamix leverages extensive historical claims data and regional insight to inform pricing decisions that reflect real-world conditions. This approach allows plans to manage medical spend in a way that is adaptable, defensible, and aligned with how care is actually delivered in each market. Keeping members in mind, AMPS proactively outreaches to members to ensure clarity in what's to come and the member advocacy team is always available should issues arise.
Medical Benefits, Amplified means creating a pricing strategy that balances financial stewardship with access and fairness. It equips organizations with a framework they can explain, support, and stand behind, even as market conditions evolve.
When medical pricing is approached thoughtfully, it becomes a stabilizing force as opposed to a source of friction. That stability is essential for long-term cost containment.
ClaimInsight
Payment integrity is a critical, and often underestimated, component of effective healthcare cost containment. Before savings strategies can deliver meaningful results, claims must be accurate, consistent, and defensible at their core.
In today's self-funded environment, even small errors in claims processing can have an outsized impact. Inaccurate coding, misapplied pricing logic, or overlooked inconsistencies quietly erode plan performance and create downstream challenges that are difficult to unwind after payment has been issued.
ClaimInsight was built to address this reality and solve for even more.
AMPS ClaimInsight rewrites the rules of payment integrity, offering a smarter, next-gen suite for prepay editing and high-dollar bill review. Our proactive approach identifies inaccuracies before payment, not after, providing health plans with the transparency and physician-led expertise needed to eliminate waste and protect margins in today's complex claims environment.
Payment integrity, Amplified means shifting from reactive correction to proactive confidence. By validating claims before repricing or payment, ClaimInsight strengthens the foundation upon which all other cost containment strategies depend.
This role is especially important within the broader AMPS ecosystem. ClaimInsight serves as the accuracy layer that supports solutions like PriceDynamix. This synergy ensures every claim is meticulously validated for errors before repricing, guaranteeing that the significant savings you achieve are both accurate and defensible. When payment integrity is built into the process upfront, organizations gain greater trust in outcomes, clearer reporting, and a more consistent experience for all stakeholders.
Drexi
Pharmacy spend has become one of the fastest-growing and most unpredictable areas of healthcare cost, driven by specialty medications, evolving treatment protocols, and increasingly complex supply chains.
Traditional pharmacy benefit models were not designed for today's realities. Rigid contracts, limited sourcing flexibility, and opaque pricing structures often leave organizations with little control and few options when costs escalate.
Drexi was built to challenge that status quo.
By prioritizing flexibility, advocacy, and cost accountability, Drexi offers a pharmacy benefit approach that adapts to market changes rather than reacting to them. This includes exploring alternative sourcing strategies, addressing high-cost therapies with intention, and supporting members through a more personalized experience.
Pharmacy benefits, Amplified means recognizing that cost containment and access must coexist. It means creating strategies that evolve alongside clinical advancements while remaining grounded in financial responsibility.
As pharmacy continues to reshape the healthcare landscape, having a benefit strategy that is responsive and human-centered is no longer optional. It is essential.
Behind every plan design, pricing decision, and claim is a person.
Healthcare cost containment is often discussed in terms of percentages and performance metrics, but its true impact is felt at the human level.
When strategies are unclear or misaligned, confusion grows.
When systems are rigid or impersonal, trust erodes.
And when cost containment is treated purely as a numbers exercise, the people it affects most are often the ones left navigating the consequences.
At AMPS, human impact is not an afterthought. It is a guiding principle.
By amplifying medical benefits, payment integrity, and pharmacy strategy as a collective, we are able to help organizations move beyond fragmented approaches toward a model that prioritizes clarity, accountability, and care. The result is not only stronger financial outcomes, but a more thoughtful experience for the people relying on the system to work.
At its core, AMPS exists to bring clarity, confidence, and care to a complex system.
By amplifying medical benefits, payment integrity, and pharmacy strategies, we help organizations build smarter, more human-centered approaches to healthcare cost containment. Whether implemented together or individually, AMPS solutions are designed to meet organizations where they are, while supporting the people who rely on them most.
This is Healthcare Cost Containment, Amplified.
Healthcare cost containment is not one-size-fits-all, and AMPS understands that no two organizations are identical. Each solution can stand alone, integrate seamlessly with existing partners, or be deployed as part of a broader strategy. That flexibility reflects AMPS' commitment to meeting organizations where they are while providing a path toward stronger, more sustainable outcomes.
Because at the end of the day, the value of the right partner lies in how well they understand your role, your challenges, and the people you serve.
To explore how AMPS' solutions apply to your specific perspective, we invite you to continue the conversation:
Each path offers a deeper look into how Healthcare Cost Containment, Amplified comes to life through partnership, adaptability, and a shared commitment to better outcomes.
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