Embold Health

In the latest for Healthcare Dive, Embold Health's President and Founder, Daniel Stein, MD, MBA, examines the evolution of healthcare consumerism and what’s missing to move the cost trend line. As employers and health plans look for sustainable ways to improve outcomes and manage rising costs, the conversation has shifted beyond cost-sharing alone and toward approaches grounded in healthcare quality, provider performance, and navigation support. Daniel explores why quality-driven plan design is gaining traction and how validated provider data, aligned incentives, and better guidance can help members connect with higher-value care inside existing networks. See why employers and health plans are moving beyond cost-sharing, and what's working instead: https://lnkd.in/eFhX4Xx4

Healthcare’s biggest cost problem isn’t always price. It’s variation. In this episode with Catalyst for Payment Reform, Embold Health's President and Founder, Daniel Stein, MD, MBA, breaks down how clinical variation quietly drives unnecessary care, avoidable procedures, and rising healthcare costs, often without improving outcomes. The conversation explores why the first provider a patient sees can shape their entire care journey, why prior authorization is only a downstream fix, and why employers are increasingly focused on helping members find evidence-based providers from the start. This is a timely discussion on improving healthcare quality, reducing waste, and giving patients better visibility into the care they receive. Click the link below for the full episode: https://lnkd.in/eS8Ajue2

Health plans are under growing pressure to improve outcomes, reduce unnecessary costs, and create better member experiences, all while navigating an increasingly complex healthcare landscape. One of the biggest opportunities lies in helping members connect with high-quality care. When given access to trusted, objective provider performance data, members can make more informed decisions that lead to better outcomes and a stronger healthcare experience overall. At Embold Health, we partner with organizations to bring greater transparency and quality insights into the care journey. Learn more about how we support health plans here: https://lnkd.in/ePkkhy4A

What happens when provider performance data becomes transparent and actionable? In this episode of Embold Health Signals, Wendy Wright Butler, Director of Provider Engagement, shares how Embold Health works alongside providers to elevate care quality and improve outcomes through meaningful data insights. Wendy discusses how transparency builds trust, why actionable provider data matters for members and employers, and the important role provider engagement plays in advancing healthcare quality. Listen to the episode to learn more about the work happening behind the scenes to support better care decisions: https://lnkd.in/e2g_VEmV

Healthcare decisions are too often driven by reputation, assumptions or convenience instead of measurable outcomes. That’s exactly the challenge Embold Health's President & Founder, Daniel Stein, MD, MBA, discusses in this conversation with Digital Health Heavyweights Podcast. From provider transparency and responsible AI to value-based care and employer strategy, this episode explores how better data can help people make more informed healthcare decisions and why higher cost does not automatically mean higher quality. At Embold Health, we believe trusted guidance starts with clinically validated data, transparent insights and tools that help people navigate healthcare with greater confidence. Thank you to Digital Health Heavyweights Podcast and Norman Volsky🎙️ 🏥 📉 for the thoughtful discussion around where healthcare innovation is headed and what it will take to improve outcomes at scale. Watch the full episode below.

Transparency in healthcare isn’t just about access to information; it’s about helping people make better decisions with confidence. When members can identify high-quality care before they schedule an appointment, they’re more likely to receive the right care the first time. Embold Health's Provider Guide gives members a clearer path to high-quality care through objective, clinically grounded provider data they can trust. See how Embold Health helps employers guide members to higher-quality care with confidence: https://lnkd.in/erFyJvrS

The next generation of health plan strategy isn’t about adding more solutions. It’s about changing the foundation. At Embold Health, that means helping employers and health plans move beyond plan design and focus on what actually drives cost: variation in care. By making provider quality measurable and actionable, organizations can guide members to higher-quality care, leading to better outcomes, better experiences, and more efficient spend. Because until healthcare consistently directs people to the highest-quality providers, cost will remain a symptom, not the problem. Learn what it takes to address cost at its source: https://lnkd.in/eeEt5NJM

Reducing healthcare costs without compromising outcomes remains one of the toughest challenges for employers and health plans. At Embold Health’s 2026 Client Advisory Board, the path forward came into sharper focus: addressing variation in care quality is the most effective way to impact both cost and outcomes. The conversation, which took place in New Orleans, LA, centered on turning insight into action, with advancements in episode-based measurement, AI-powered navigation, and more personalized guidance at the point of decision. This is the type of work that moves healthcare forward. Read the full recap: https://lnkd.in/eAcXEkAx

This Wednesday, join a conversation on where healthcare navigation is headed and what it means for organizations working to improve care and manage costs. You’ll hear from Quantum Health leaders alongside Embold Health's SVP, Health Plan Business and Chief Medical Officer Matthew Resnick, MD, MPH, as they discuss how navigation is evolving beyond access to focus on clinical quality, more informed decision-making, and long-term cost control. The discussion will explore a more comprehensive approach to managing prescription drug costs, the role of virtual primary and urgent care in driving both prevention and total cost of care, and how new analytics are helping organizations focus on what matters most and what actions to take. It will also take a closer look at Embold Edge, the first quality-driven health plan designed to lower costs without requiring changes to your existing plan or network. You won't want to miss this! Register today: https://lnkd.in/eTPZJyG8

Healthcare navigation is evolving, but many organizations are still relying on models that weren’t built for how people actually experience healthcare today. For consultants, that creates a critical challenge: how do you guide clients toward solutions that truly deliver on cost, experience and outcomes? This webinar is designed specifically for consultants navigating that shift. Join Quantum Health and Embold Health for a conversation on what’s changing in healthcare navigation, and what you need to know now to better support your clients. In this consultant-exclusive session, you’ll gain perspective on: * Practical strategies to better manage pharmacy costs, from routine spend to emerging high-cost therapies * How more connected virtual care and clinical guidance can improve real-time decision-making * How AI-powered analytics can help uncover cost drivers and guide more confident next steps Save your spot: https://hubs.ly/Q04cP82M0