Paradigm for Healthcare

Tame costs and improve your members’ experience

Outcomes you can count on

When one of your members faces a difficult diagnosis or has a complex injury or health event, you want to provide the best possible outcome at the best possible cost. Paradigm can help.

Our solutions ensure that patients and their families get the expert clinical care and decision-making support they deserve, while ensuring accurate, fair payment on these high-stakes claims.

Who we serve

Health Plans

Give your members the specialized care and support they need, while managing your risk and spend for surgeries and other complex, high-cost claims.

Employers & TPAs

Help your employees through complex care challenges with the highest quality specialized support and education, while protecting your bottom line.

Benefits Concierge Services

Add our powerful solutions to your offerings to increase the depth of your programs and provide clients with the highest quality care and support for their members.

The Paradigm difference

Patient education, care coordination & management, networks of specialty providers, and payment integrity

Paradigm has an unmatched track record of achieving remarkable outcomes for challenging and expensive cases. That’s because we know when we focus on the whole person, we deliver better results for the patient and better value for our clients.

With our solutions, we’re able to drive optimal outcomes across a range of complex health risks and conditions. And by leveraging actionable data and leading clinical expertise, we empower our partners, support your patients, and provide unparalleled customer service.

Our Values

01

30-year track record

We’ve been delivering third-party verifi­ed outcomes on the most complex and expensive cases for more than three decades.

02

Easy to integrate and implement

We do all the heavy lifting to integrate with your existing programs and then efficiently implement our solutions so you see results quickly.

03

A team of clinical experts

Our team of clinicians has deep, specialized experience in the challenging dynamics of complex cases and the factors that drive unnecessary costs and impede outcomes.

04

Risk-mitigating, outcome-focused programs

Our team of clinical experts creates results-oriented programs and outcome plans to guide your members through complex decisions and recovery journeys.

05

A data-driven approach

We use 30+ years of data to inform our programs, estimate expected costs and help mitigate your risk.

Control your costs and improve your members’ experience.