For Self-Funded Employers

Costs are out of control.Decisions are made by bureaucrats, not the doctor who knows you.At Vxtra Health, we’ve built a way out.

You deserve better healthcare.

The system wasn’t built for you, or your town.

It works for health insurance companies and Wall Street, not for your company, your people, and your doctors.

For Employers

You don’t have a compliance problem. You have a leverage problem.

You overpay every renewal while the real numbers stay hidden, and the first warning of a big claim is the bill itself. Now federal transparency rules put that exposure on you, your CFO, and your board. We organize your town into real buying power and put your data back in your hands.

For Brokers

You’re stuck selling the same thing as everyone else.

The brokers who win will be the ones who bring something new, a plan built on compliance, not commissions.

For Physicians

You became a doctor to help people. Not to fight paperwork.

Pre-approvals, denials, and red tape stand between you and your patients. That ends here.

For Employees

You shouldn’t need a guide to use your benefits.

Confusing networks, surprise bills, and pre-approval runarounds keep you from the care you’re already paying for.

Every year of waiting is another year of rising costs and legal exposure. The answer was never a better renewal from the same system. It is a health plan built for your town.

The same claim, seven months apart.

Both stories start with the same symptom, in the same week. The only difference is who’s watching the data.

The old way

Claims data shows up 60 to 90 days late, pharmacy lives somewhere else, and nobody connects either to the exam room. The first signal is the hospital bill.

Week 1A symptom begins
Month 2No one is watching
Month 5Still no one is watching
!
Month 7ER visit. The claim that wrecks your year.

With Vxtra

Medical and pharmacy data are read together in real time, so a doctor who knows the patient acts in weeks.

Week 1A symptom begins
Week 2The signal gets flagged
Week 5A nurse and a local doctor step in
Month 2Condition managed. No ER visit.
Months 3 to 7: quiet, because the problem was already handled.

We’ve sat in your chair.

Larry Hightower, Co-Founder and CEO of Vxtra Health
“The difference between your town and the big city is not the quality of the physicians or the commitment of the employers. It is the organization of the market. We organize it.”
Larry Hightower, Co-Founder & CEO

Physician-Steward Led

Co-developed by physician-stewards who steward both the care and the cost, doctors who know local healthcare from the inside.

Leading Transparent Passthrough

Powered by the latest technology that processes medical and pharmacy claims together. Your data, visible today, not months from now.

30 Years of Operational Excellence

Three decades working with physician leaders, running health plans, and improving the technical side of the business.

Physician-Steward Design

Every plan design starts with one question: does this let doctors steward both the care and the cost for the people they know?

One operating model. Six parts, one system.

Not six vendors bolted together. One system, reading the same data at the same time. A problem gets caught while it is still small.

01

Local physician leadership

A named physician who knows the patient runs point. Not a call center three states away.

02

Claims intelligence

Your claims read in near real time, not on a quarterly PDF. A trend shows up while it is still small.

03

Pharmacy transparency

Medical and pharmacy claims sit on one platform. A prescription and a diagnosis are never two separate stories.

04

Nurse orchestration

A nurse navigator calls before the ER visit, not after. She lines up referrals and follow-up.

05

Medical stop-loss alignment

The coverage for catastrophic claims runs on the same live data as your doctors. It gets ahead of the claim instead of learning about it late.

06

Audit rights

Your claims and pharmacy pricing are yours by law. We hand them over audited and usable, not buried in a report.

Three steps to a plan you can defend.

Plan sponsor reviewing where the new transparency rules apply to their health plan
1

Get Your Free Cost Analysis

A few quick questions about your current plan. We show you what you could save, and where the new transparency rules leave you exposed.

Reviewing previously hidden claims and pharmacy data with real pricing
2

See What You Qualify For

We model your plan against real claims and pharmacy data. You see your numbers, plus where the old plan leaves you exposed on the new rules.

A transparent, compliant Vxtra Health plan in place
3

Switch to a Plan That Works

An incentive-based plan design that rewards the right care. Predictable costs you can defend at the board table, with transparent data that keeps you compliant.

Healthcare that works like your town does.

Your CFO goes to church with the physician who manages your top salesperson’s care. Your orthopedist coached little league with half your management team. Those relationships are not soft assets. They are how a health plan should work.

We don’t call it Our Town because these are small towns. Most of them aren’t. We call it that because they are the right size: big enough for real infrastructure, small enough that an employer, a doctor, and a hospital can still sit at one table.

Employers

Local Employers

Pool together with other local companies for buying power, lower costs, and a plan that stays compliant.

Vxtra Health
Physicians

Local Physicians

Physicians who care and are engaged in a system and partnerships that do too.

Brokers

Benefits Brokers

A product no competitor can match. Built on compliance and transparency.

Every employer who joins adds data, so early detection gets sharper. Physicians and hospitals deepen local coverage. Avoid a few catastrophic claims and cost falls for the whole market, which brings in the next employer. The community gets healthier and the plan gets cheaper at the same time.

The doctors are only half of it.

The other half is the infrastructure underneath them. Old way versus Vxtra, side by side.

The Old Way

  • Decades-old, patched-together claims systems
  • Claims data arrives 60 to 90 days late
  • Pharmacy data lives in a separate system
  • Employees navigate a directory of strangers
  • Nurse follow-up starts after the ER visit, if at all
  • Catastrophic-claim coverage hears about a case once it is expensive
  • Small, manageable conditions become catastrophic claims

Vxtra Health

  • Modern infrastructure, built from day one
  • Claims read in near real time
  • Medical and pharmacy read together, on one platform
  • A named local physician who already knows the patient
  • A nurse navigator calls before it
  • That coverage works from the same data as the physician
  • Early signals get earlier intervention

What lower cost, predictable, and compliant looks like.

A benefits team working through plan options, serious and focused

Employers

Predictable, lower costs. And full compliance.

Real savings on the bottom line and confidence at the board table instead of dreading renewal season. Plus full compliance with the new federal rules.

An HR lead and an employee reviewing coverage at a desk

Employees

Smart choices cost less. No surprises.

A plan that rewards the right care, like generics and your own local doctor. Lower out-of-pocket costs when you choose well, and a doctor who knows your name.

A physician and surgeon buried in prior-authorization paperwork

Physicians

You make the decisions.

Your patients trust you, not a call center. Practice the way you always intended.

This one’s personal.

01

Costs don't fix themselves.

At 7%+ per year, your spend doubles in a decade. And you can't fix what you can't see until months after it happens.

02

Your best people will leave.

68% of employees say benefits decide whether they stay or go.

03

The window will not stay open.

The employers who organize first lock in the local physicians and the community advantage. The new rules are already in effect, and if you're not compliant, that's on you and your board.

Every year you wait is another year of exposure, financially and legally.

The law changed. “We didn’t know” is not a defense anymore.

2021Consolidated Appropriations Act

The Consolidated Appropriations Act gave employers the right to see their own claims and pricing, and barred the gag clauses that hid it. If you can see the numbers, the law expects you to look.

2027Transparency in Coverage

New transparency rules become enforceable January 1, 2027. Access to the data is no longer enough. As plan sponsor, you are expected to act on it, under the same duty of care you already owe your 401(k).

If you can’t show you watched the numbers, the exposure is yours.

Launching Q1 2027 across Georgia, Alabama, South Carolina, North Carolina, and Tennessee. One town at a time, on purpose.

Your town has the data. It just needs somewhere to go.

The new rules become enforceable January 1, 2027. Tell us about your plan. We will send back an honest read on where it leaves you exposed, and what a physician-led plan does about it.

Or email us directly at info@vxtrahealth.com