For Self-Funded Employers

The right providers
are already in your market.

Manifest builds employer-focused, local provider ecosystems and the strategies to make them work for your people.

The challenge

The familiar option isn't always the best option.

When an employee needs an MRI or a specialist visit, they often go where the referral slip points, where they went last time, or wherever comes to mind first. The decision is made under stress, without comparison, and it has real financial consequences for your plan and your employees' wallets.

The answer isn't better information at the moment of need. It's building the right answer into your employees' awareness long before that moment arrives — so the decision is already made. That's the gap Manifest was built to address.

The manifest approach

We build the local ecosystem and partner with you to make it work.

Manifest identifies high-value provider organizations in your local market, engages them directly, and builds the collaborative relationships that make cost and experience improvement possible.

From that foundation, we design the strategies that connect your employees with those providers, working alongside your benefits agency, your health plan, and your existing plan structure. That might start with member education, evolve into benefit design that creates financial incentives for better choices, or extend to a direct primary care or onsite care relationship if you want a front door to care. We meet you where you are and stay engaged as the strategy builds.

Where we focus

Same care. Different costs.

Manifest focuses on services where meaningful, measurable variation exists between what employers pay at high-cost sites and what they'd pay for the same or comparable care somewhere else in their market. That variation shows up in two distinct ways — and both matter.

High-frequency services

Volume makes it matter.

Price variation across commonly used services

3–10×

Price spread between the highest- and lowest-cost sites for the same service

Diagnostic imaging
ER-avoidable visits
Labs
+ more

Every redirected imaging study represents hundreds, if not thousands, of dollars saved. Multiply across your annual volume and the aggregate impact is significant.

High-stakes episodes

One redirected case changes the math.

Per-episode variation in complex or costly services

$10K–$50K+

Per-episode cost difference between high- and lower-cost sites or care pathways

Orthopaedics
Oncology
Infusion therapy
+ more

In these categories, the per-episode cost difference is large enough that a single redirected case can materially move your annual spend.

By the numbers

The size of the gap.

These numbers reflect how wide price variation runs across the US healthcare market — at rates that have nothing to do with the quality of the care itself.

2–3×

Hospital outpatient surgery vs. ambulatory surgery center

3–5×

Hospital-based MRI/CT vs. independent imaging center

10×

Emergency room vs. ambulatory care for similar conditions

3–5×

Hospital outpatient infusion vs. office-base infusion

Who we work with

Manifest works alongside you
and your existing partners.

Your benefits agency, health plan, and HR team each have a defined role. Manifest is not a replacement for any of them. We add the local provider ecosystem and the design layer that makes their work more effective.

Benefits Agency

Designs your strategy.

Manifest provides the provider intelligence to inform those decisions and supports execution of the activation strategies.

Health Plan

Administers your plan.

Manifest works within your existing plan structure. No carrier change required.

HR / Benefits Team

Runs your program.

Manifest arms your team with the materials and framework to communicate the Collective to employees.

Let's talk

Tell us where you're starting from.

We work with self-funded employers who know the opportunity is real and want to understand what the right starting point looks like for their organization.

No pitch deck. No prescribed program. Just a direct conversation about your market, your population, and what makes sense to build.

Start a conversation

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THE PROVIDER COLLECTIVE

The foundation of every Manifest engagement.

Learn how we identify and engage high-value provider organizations — and what that looks like in your market.

Learn About the Collective →