Benefixa Advisory

Independent oversight for employer healthcare.

Protect the company. Support the board. Do right by your people.

Benefixa gives employers an independent review of healthcare strategy, PBM economics, claims trends, procurement incentives, and fiduciary exposure. Keep your broker if the work holds up. Demand better answers if it does not.

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CAA Transparency PBM Oversight Claims Visibility Benchmarking Member Experience

The reality

The system profits from complexity.

Employers are asked to make million-dollar healthcare decisions with limited transparency into claims, pharmacy economics, procurement incentives, network contracts, and the actual price of care.

Rising costs Premiums, deductibles, and employee contributions keep climbing while the underlying math remains opaque.

Hidden incentives Carrier, PBM, broker, and vendor incentives are not always aligned with the employer or the member.

Limited visibility Many employers never audit historical claims leakage or the real economics behind their plan.

Member friction Employees often face delayed care, confusing choices, and unnecessary out-of-pocket exposure.

Cost of inaction

The gap between these lines is money leaving the company.

Doing nothing may feel safe. Over time, healthcare inflation compounds into a major drag on profitability, wages, growth, and employee experience.

Status quo Optimized strategy path

Doing nothing has a cost.

Independent oversight changes the trajectory.

Illustrative calculator

Dial in your healthcare spend.

This model is intentionally flexible. Smaller groups may require a custom minimum or adjusted guarantee. Larger groups should not be punished with a fee that scales beyond the work required.

Annual healthcare spend

Type or slide from $0 to $100M

$5,200,000

$0 $25M $50M $75M $100M

Indicative advisory fee

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Start by entering spend.

Target savings path

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Often anchored to a multiple of fee.

Effective fee rate

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Designed to scale down for larger employers.

If we miss

Downside protection is finalized in the engagement terms.

Important: This calculator is illustrative only. Exact scope, advisory fee, guarantee multiple, refund mechanics, and deliverables are finalized after a cursory analysis.

Aligned economics

Independent oversight should pay for itself.

Benefixa engagements are structured around measurable procurement opportunity and long-term healthcare stewardship. If we do not identify a meaningful savings path worth pursuing, you owe nothing.

10X Target opportunity

$0 Downside risk

Start safely

Start with a confidential review.

Most employers already have enough information to identify meaningful benchmarking opportunities. No census files. No SSNs. No disruption.

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The GO Plan

For organizations that need proof before they move.

The GO Plan gives leadership an independent, board-level review of healthcare strategy before renewal pressure takes over.

Explore The GO Plan ↗

Featured documentary

It’s not personal, it’s just healthcare.

The Broken Healthcare documentary gives employers a clearer view of the system Benefixa is built to challenge: opaque pricing, misaligned incentives, and families caught in the middle.

See the Documentary →

Insights

The conversation does not end at renewal.

Broken Healthcare Podcast and the documentary are our media and education platform. Rate My Benefits is the diagnostic infrastructure. Benefixa is the advisory layer that helps employers turn insight into action.