| Member | Status | Save |
|---|---|---|
| M·1842 Right TKR | Routing | $38.4k |
| M·2917 Gastric sleeve | Booked | $16.2k |
| M·0644 Hip replacement | Review | $24.8k |
| M·3301 ACL recon | Routing | $9.1k |
| M·4128 Dental: All-on-4 | Booked | $24.7k |
A turnkey add-on for self-funded plans. First-dollar savings on the surgical cases that drive your claims spend — with zero disruption to your TPA, your network, or your members’ plan terms.
From the first claims-data audit to the fiduciary-grade quality report your audit committee signs off on — JetPatient handles the operational lifecycle end-to-end.
Employer health costs are up 47% in a decade. The top 1–5% of claimants drive roughly half of self-insured spend — and the procedures behind those claims cost far less at credential-verified facilities abroad — a $58,000 Houston knee became $19,600 all-in in Medellín —, with equivalent outcomes.
Atlas is the part of Guardian where your benefits team designs, monitors, and evolves a bespoke add-on network of credential-verified international facilities — matched to your members, your geography, and your procedure mix. Layer it on top of your existing plan. Nothing to replace, nothing to renegotiate, no ambiguity for stop-loss or your TPA.
This is the actual Guardian surface your benefits team uses every day. Live cohorts, live PEPM, live PREDICT flags. Nothing canned, nothing screenshot.
| Member | Status | Save |
|---|---|---|
| M·1842 Right TKR | Routing | $38.4k |
| M·2917 Gastric sleeve | Booked | $16.2k |
| M·0644 Hip replacement | Review | $24.8k |
| M·3301 ACL recon | Routing | $9.1k |
| M·4128 Dental: All-on-4 | Booked | $24.7k |
All cohort data shown is illustrative. The live Guardian console runs on your real claims, eligibility, and PREDICT signals — signed, time-stamped, audit-ready.
Open the live Guardian demoJetPatient PREDICT is an AI-powered surgical pipeline intelligence engine — identifying employees on trajectory for high-cost procedures 6–18 months before they schedule domestically.
Maturity disclosure. PREDICT v0.1 is a working pipeline trained on simulated cohorts and is not approved for production use. First real-world readout is targeted Q3 2026. Read the Model Card →
Each model is a pilot scenario built from a prospective employer’s actual claims-and-eligibility extract, scored through PREDICT v0.1 and routed through Guardian. Identities anonymized; numbers are the modeled 12-month run-rate. First named case with realized outcomes ships Q3 2026.
We weren’t asking for a benefit change — we were asking for runway. JetPatient gave the CFO eighteen months of cost-trend cover without touching the plan design.
The first cardiac case alone paid for the program. What surprised us was the satisfaction — drivers came back telling other drivers.
Our IVF cohort has been our most-passionate group. Keeping the benefit rich while cutting per-cycle cost in half — that’s the moment my sponsor signed off.
JetPatient slots into your existing self-funded plan as an elective option. Employees opt in. Employers save. Nobody gives up quality, network, or plan terms.
Pick the covered procedures, incentive structure, and member comms with our Benefits team.
Members open the JetPatient app to explore procedures, compare clinics, and get AI-matched to credential-verified facilities.
Records, consults, travel, accommodation, translation — all run on one platform, end-to-end.
You pay the all-in JetPatient package — a price you see in full before you commit. The delta flows straight to your plan.
Actuarial rates applied to your workforce · AKS / CPOM compliant · Works within existing self-insured plans
| Procedure Category | Est. Cases / yr | U.S. Network Cost | JetPatient Cost | Annual Savings |
|---|---|---|---|---|
| Total | — | — | — | — |
Thirty minutes. Integration, member comms, ROI reporting — we'll walk you through it.
No new infrastructure. Integrates within your existing self-insured plan in days.
No surprises for HR, legal, or your TPA.
Three figures finance teams ask for. The calculator above produces them from your plan’s inputs; this panel shows how each drives the next — Year-1 savings reduce stop-loss exposure, which compounds into trend-rate improvement at renewal.
PEPY on a 2,500-life self-insured plan covering the four most common procedure categories.
Reduction in claims hitting your specific-attachment point in year 1.
Modeled trend-rate reduction at next renewal, holding plan design constant.
How to read this: Year-1 figures use your plan’s actual covered-life count and procedure mix. Stop-loss impact assumes a typical specific-attachment of $200K–$300K. Trend-rate reduction is modeled at next-year renewal, holding all other plan-design variables constant. Sources and assumptions documented in our methodology pack.
We earn from the spread between US billed charges and our negotiated package price — a fixed fraction; the rest flows to your plan as savings. No PEPM, no implementation cost, no minimums. No travel means no charge.
JetPatient packages typically settle below specific-attachment, so they don't generate reportable events for your stop-loss carrier. We work directly with major stop-loss carriers (Sun Life, Tokio Marine HCC, Symetra, BCS, Berkshire Hathaway, ELMC) on data feeds and renewal-year actuarial review.
Implementation runs 60–90 days from contract signature. The right launch window depends on your plan year and OE calendar.
Every Guardian capability is tagged for the stakeholder who relies on it most. From day-to-day operations to fiduciary committee review, each persona has the right surface waiting for them.
Your dashboard adapts to your plan structure. Self-insured employers see HCC trend, stop-loss proximity, and per-case marginal savings. Fully-insured see utilization, premium-impact, and renewal-prep.
Year-1 dollar range, plan-tier retention factor, top three procedure categories driving savings. Forwardable to finance for budget approval; refreshed when plan inputs change.
NPS, satisfaction, time-to-first-consult, completion rate — surfaced at the same visual weight as cost. The CHRO talent narrative: cost down, member experience up.
PREDICT identifies HCC cohorts forming — pre-surgical orthopedic, cardiac workup, bariatric eligible. Engage with Outreach Studio, route through the network, attribute the savings.
Native connectors, plus EDI 834 file feeds. PHI handled under BAA, AES-256 at rest, TLS 1.3 in transit. Setup in 30 minutes.
Live status on ERISA, CAA § 202, MHPAEA NQTL, RxDC reporting, AKS safe-harbor review, HIPAA BAAs, TiC machine-readable files. Quarterly evidence pack generates automatically.
A procedure-by-procedure look at where your savings come from. Each tile shows the median US commercial allowed charge against the JetPatient package rate. Sourcing detail in the footnote below.
US figures: median commercial allowed charges by procedure, FAIR Health 2025 benchmark dataset. JetPatient package: Q1 2026 contracted rates, all-inclusive of facility, surgical team, primary implant, anesthesia, accommodation, and platform coordination. Travel and recovery accommodations not included unless noted.
PREDICT is the AI engine that surfaces tomorrow's surgical claims today. Guardian is the command center your benefits team uses to act on those signals. Together they form a single feedback loop — every routed case sharpens the next prediction.
Guardian is the credentialing and outcomes backbone behind every JetPatient referral. Before a partner clinic ever sees one of your employees, it clears an 86-point on-site audit, a 36-month clinical outcomes review, and a multi-accreditation standing check — then gets re-audited on a fixed cadence thereafter.
Your benefits team gets a single composite quality score per clinic, transparent tier thresholds (Flagship, Preferred, Specialized, Probation), and a live feed of signals — complication rates, CSAT, re-audit findings — so nothing about your duty of care is invisible.
Two new capabilities turn Guardian and PREDICT from forecasting tools into accountable activation systems with audit trails procurement actually accepts.
Multi-channel email + SMS + member portal + Slack. Plan-branded. A/B-tested. Every booking causally attributed to the journey that drove it.
Live drift monitoring. Sub-cohort precision. Fairness deltas across protected proxies. Downloadable model card and validation pack.
The JetPatient Quality Report is our public, quarterly-refreshed record of every partner clinic — outcomes, complication rates, per-procedure benchmarks, and the methodology behind them. Built for HR, finance, and legal teams who have to prove the program isn’t a black box.
Everything Guardian observes in real time eventually lands in the Quality Report, in a form actuaries, brokers, and compliance leads can actually cite. Nothing is cherry-picked. Exclusions, caveats, and data sources are disclosed in full.
The questions that surface in the final review — complications abroad, companion travel, dependent rules, stop-loss interaction, refund triggers — get written, contractual answers below. Every commitment here ships in the Master Services Agreement, not in marketing copy.
24×7 in-country coordinator. Re-admission to the original facility on us. 90-day telemedicine with the operating surgeon. If US re-admission is needed within 90 days, JetPatient covers the gap between plan-allowed and incurred, capped at the domestic equivalent.
Every routed case includes one travel companion: airfare from the member’s metro, shared accommodation through recovery, and ground transport. No plan upcharge, no member out-of-pocket. Second companion available at member cost on request.
Eligibility covers dependents and domestic partners. Outreach respects your existing dependent rules (subscriber-only vs. dependent permission, age cut-offs, COBRA, special-needs flags). Pediatric and pregnancy-related care are excluded from the pilot — routed as exceptions to specialty networks if requested.
Routed cases reduce both spec and aggregate attachment exposure — they show up as lower claims, not plan-design changes. Sun Life, Tokio Marine HCC, Symetra, BCS, Berkshire, and ELMC carry medical-tourism rider language. We deliver attestation letters and engage your carrier directly if your contract requires advance notice.
NPS is collected post-discharge and again at 90 days. If cohort NPS falls below 50 in any quarter, JetPatient refunds the plan’s fees for that quarter — full per-case credit. Reported in the quarterly outcomes pack to the benefits team and broker of record.
Every routed procedure carries a per-case medical-tourism wrap with an A-rated specialty carrier. Sits on top of your stop-loss, not in place of it — covers the foreign-care liability gap that ASO contracts often exclude. Wrap certificate available under NDA.
Members from partner-designated bilingual regions get a native-Spanish coordinator for the full journey, not just intake. After-hours coverage spans US Central and Mexico zones — a Brownsville member calling at 6pm reaches a live human. All member-facing materials ship bilingual day one. Bilingual liaison engaged on the first call of any Sev-1 event.
A named crisis-communications firm (disclosed under NDA) activates within 60 minutes of any Sev-1 adverse event — at no cost to the plan. 24×7 medical-affairs lead joins the same call. Joint statement: neither party publishes without the other’s sign-off. 30 days of dedicated comms support included; post-event independent review at our expense.
Every JetPatient employer is paired with the same four-person team for the life of the engagement. You’ll know who’s answering, and they’ll know your plan.
Request a personalized ROI analysis. We'll model your plan's spend, identify high-cost procedures, and show projected annual savings.
Most mid-market employers buy benefits through a broker, consulting firm, or in-house plan manager. Add them once and they get a co-pilot view tuned to renewal cycles, RFP support, and fiduciary-committee packs — without bypassing the privacy controls you set on your data.
One-click renewal pack — cost trend, outcomes, and program tweaks — generated the day they prep your meeting.
Quarterly fiduciary evidence packs auto-generate inside Guardian — delivered at the committee meeting, ready for archive.
Pre-vetted RFP language for Guardian sections, plus carrier-comparison decks co-branded with your broker’s firm.
Per-user permission tiers (read-only, comms-only, full administrator), revocable anytime. Eligibility and PHI stay in HIPAA-aligned channels.
Three explicit entry points. Pick the seat that matches how you serve self-funded plans — or claim a Founding Partner slot in your channel before it closes.
PCP-led referrals, FHIR R4 write-back to Elation / Hint / Atlas.md / AthenaOne, TMLT-aligned referring-physician liability position, bilingual coordinator commitments.
See the DPC story →Standard EDI X12 (834 / 837 / 820 / 835 / 270 / 271) or FHIR R4. Carve-out or wrap. Flat-fee partnership for TPAs — nothing varies with case volume. Live integrations with WebTPA, Trustmark, Healthcomp, EBMS, Luminare, HealthEZ, Allied, PayerFusion.
See the TPA story →Pricing locked at 12% Yr 1 / 10% Yr 2+ capped, 12-month DMA exclusivity, co-branded marketing, Partner Advisory Board seat, Yr-1 malpractice endorsement, equity-warrant track. Closes when filled.
See Founding Partner terms →