Amino Health Launches Pilot Health: An Innovative Platform to Empower Dynamic Copay Health Plans

LOS ANGELES--(BUSINESS WIRE)--In response to escalating healthcare costs in the United States, Amino Health has introduced a new platform called Pilot Health, which offers APIs that allow health insurers to rapidly launch a dynamic co-pay health plan. By leveraging dynamic copays, payers can incentivize members to choose high-quality, cost-effective healthcare providers, thereby promoting better health outcomes and reducing overall expenses.​

The U.S. healthcare system has been grappling with rising expenditures, prompting employers and health plans to seek innovative solutions to manage costs without compromising care quality. Alternative health plans have emerged as a promising approach, featuring dynamic copays that adjust based on the cost and quality of providers. This model encourages patients to select providers who deliver superior care at lower costs by offering reduced copays, while higher copays are applied to providers with higher costs or lower quality metrics. ​

Research indicates that copay price incentives can reduce overall plan spending by 10-20% by guiding members to high-quality providers and steering them away from costly facilities. This aligns with the growing interest among employers and health plans in adopting alternative models that prioritize value and efficiency.​

Pilot Health's platform is engineered to enable insurance carriers to swiftly build and launch these alternative health plans for both fully insured and self-insured groups. Key features of the platform include:​

• Dynamic Copay Enablement: Utilizes comprehensive provider cost and quality data to establish tiered copays, aligning patient incentives with optimal care choices.​
• Provider Tiering Capabilities: Offers the ability to categorize providers based on performance metrics, facilitating informed decision-making by members.​
• Facility Cost Ratings: Provides transparent cost information for medical facilities, empowering members to make cost-effective choices.​
• Modular Technology Approach: Allows customization of health plans to meet the unique needs of each insurance carrier, integrating seamlessly with existing systems.​
• Consumer Application: Features a user-friendly, customizable application that enhances member engagement through digital appointment booking, pharmacy savings, and priority mental health visits.​
• Digital Appointment Booking APIs: Facilitates seamless scheduling experiences for members, improving access to care.​
• Rapid Deployment: Enables health plans to go live within 90 days, expediting the delivery of value to members.​

“After receiving significant interest from payers in 2024, we decided to launch Pilot Health to address the growing need to align incentives between patients, providers, and employers,” said John Asalone, Amino Health’s CEO. "By implementing dynamic copays and offering transparent provider information, we empower members to make informed decisions, ultimately leading to better health outcomes and more efficient use of healthcare resources."​ McKinsey & Company

Pilot Health's platform stands out by offering a modular design, allowing insurance carriers to tailor health plans according to their specific requirements. Whether utilizing Pilot Health's comprehensive datasets or integrating their own, carriers can create plans that resonate with their members' needs and preferences.​

For more information about Pilot Health and to schedule a demo, please visit https://www.gopilothealth.com/.​

About Amino Health

Amino Health is a healthcare navigation company dedicated to connecting members to affordable, high-quality care. Its platform provides personalized care guidance that allows members to find and make informed decisions about providers, facilities, conditions, procedures, prescriptions, and more. https://partners.amino.com/

Amino introduced the Pilot Health capability to improve healthcare utilization, reduce costs, and enhance the overall patient experience for payers.​ https://www.gopilothealth.com/