Apta Care
Navigating your members to better care.
Apta Care is healthcare navigation, built for mid-market employers (75-10,000+ employees). It’s the kind of benefit only Fortune 500 companies have had for years.
Now, your team can get it too.
Dedicated Care Coordinators who guide members through benefits, appointments, billing, and everything in between.
95% Engagement Among High-Cost Members
For members with over $10K in claims, 95% regularly engage with their Care Coordinator.
Real-Time Intercept® Prevents Unnecessary Costs
Our Care Coordinators identify and redirect redundant or questionable treatments before they happen.
20% Average Rx Savings in Year One
Our prescription coordination program saves clients up to 20% on pharmacy spend in the first year alone.
One Call, Full Support
Behind every call is a real person who knows your unique healthcare plan, and how to get things done.
Apta Care Solutions
Not every employer needs the same level of support. Apta Care offers three levels of navigation, so you can match the right solution to your workforce and budget.
1
Essential Navigation
A streamlined, digital-first experience that helps members quickly find high-quality providers, understand benefits, and get answers to common questions.
2
Enhanced Navigation
A flexible, coordinated-care model that combines digital tools with dedicated support to help members make better healthcare decisions.
3
Comprehensive Navigation
A fully integrated, high-touch model designed to actively reduce unnecessary claims and drive long-term performance.
How Apta Care Works
Apta Care uses agentic AI that identifies problems and initiates solutions before members even know they need help.
AI monitors continuously
The platform tracks every scheduled procedure, claim, and care decision for cost-saving opportunities:
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High-cost procedures scheduled at expensive facilities
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Duplicate tests or unnecessary care
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Members at risk for surprise bills
Care Coordinator Steps In
A U.S.-based expert calls the member, explains the savings, and handles everything:
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Reschedules at the lower-cost facility
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Coordinates with the member's doctor
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Follows up until it's done
Example:
AI detects a member scheduled an MRI at a hospital for $3,200. The same MRI at an independent facility would only cost $450.
Result:
Member saves $2,750.
What changes with Apta Care?
Without Apta Care | With Apta Care |
|---|---|
Benefits go unused | Members use and understand their benefits |
Reactive after huge claims hit | Proactive prevention before costs occurs |
HR caught in every healthcare issue | HR focuses on actual HR work |
Members are confused and frustrated | Members are supported by expert advocates |
