Garner Health uses medical claims analytics to identify high-quality doctors, steer employees to them and reimburse out-of-pocket costs, aiming to cut healthcare spending.
Garner Health is a data-driven healthcare company founded in 2019 by Nick Reber, a former member of the Oscar Health leadership team focused on analytics and data strategy. The firm analyses medical claims to identify high-quality doctors, then guides employees towards those providers and reimburses their out-of-pocket medical costs when they choose them. The aim is to align the financial incentives of physicians, patients and employers with quality outcomes and so reduce overall healthcare spending.
At the core of the business is what the company describes as the largest medical claims database in the United States: more than 60 billion medical records covering 320 million patients. Working at this scale underpins its technical domains, which include healthcare data analytics, medical claims data analysis, provider quality measurement, data strategy and predictive and outcomes analytics. The resulting analytics assess which doctors diagnose more accurately and deliver superior patient outcomes.
These capabilities are delivered through the Garner provider quality and navigation platform, which is used by more than 700 organisations, among them mid-market employers and Fortune 50 companies. The company operates in the United States across the healthcare, health insurance and employee benefits, employer-sponsored healthcare and medical provider analytics verticals. Its stated mission is to reshape how the healthcare economy works, with a data-driven approach to solving problems.
