Value-based care

A new dawn in sleep health with value-based care - Nox Health
A new dawn in sleep health with value-based care

The magnitude of healthcare cost increases confronting both employers and employees is staggering. Employers could face health cost increases of 9–10 percent through 2026 because of inflationary pressure passed through from providers.

The rising demand for healthcare, driven by chronic illnesses, policy changes, and a shortage of medical staff, has spurred innovation, value-based care models, and increased productivity in the industry.

The magnitude of healthcare cost increases confronting both employers and employees is staggering. Employers could face health cost increases of 9–10 percent through 2026 because of inflationary pressure passed through from providers.

The rising demand for healthcare, driven by chronic illnesses, policy changes, and a shortage of medical staff, has spurred innovation, value-based care models, and increased productivity in the industry.

Value-based solutions are notoriously difficult to implement with legacy systems and processes that get in the way. But the focus must shift away from cost to care, from volume to value and from providers (only) to patients.
Value-based solutions are notoriously difficult to implement with legacy systems and processes that get in the way. But the focus must shift away from cost to care, from volume to value and from providers (only) to patients.
Six common challenges of value-based care
Barrier 1
Data integration and interoperability
Changing policies and programs
Barrier 2
Barrier 3
Financial risk
Inefficient workflows
Barrier 4
Barrier 5
Difficulty getting buy-in
Fragmented care delivery
Barrier 6
Nox broke the sleep benefit paradigm with high-value delivery systems singularly focused on patient outcomes. We help organizations implement a value-based, outcomes-focused sleep care solution with a unique combination of science, technology, data and human care to overcome these challenges.
Nox broke the sleep benefit paradigm with high-value delivery systems singularly focused on patient outcomes. We help organizations implement a value-based, outcomes-focused sleep care solution with a unique combination of science, technology, data and human care to overcome these challenges.

Our organization and working teams are structured around the treatment of sleep conditions. We integrated care across the entire care cycle to any geography while measuring outcomes for each patient, providing the patient with continued support across the entire pathway.

Nox streamlined everything from cutting edge device technology, telehealth, disparate sources of data and different disciplines of care to deliver a unified platform, repeatable work flows and integrated teams to avoid friction and gaps in care.

Our organization and working teams are structured around the treatment of sleep conditions. We integrated care across the entire care cycle to any geography while measuring outcomes for each patient, providing the patient with continued support across the entire pathway.

Nox streamlined everything from cutting edge device technology, telehealth, disparate sources of data and different disciplines of care to deliver a unified platform, repeatable work flows and integrated teams to avoid friction and gaps in care.

Our value-based plan design aligns the interests of members, plan sponsors and providers. It makes Nox accountable for member success, ensuring we achieve the best health outcomes and lowest total healthcare costs while maximizing patient and member satisfaction.

  • Sponsors pay only for value: Unlike traditional benefits, plan sponsors only pay for diagnosed plan members who adopt therapy, with no additional cost for education, screening, testing, or diagnosis. Nox assumes that upfront risk.
  • Single bundled case rate: Nox programs use a bundled case-rate pricing structure, where a single payment covers the full care cycle for the treated medical condition. This encourages teamwork and high-value care while eliminating friction points, care gaps, and waste.
  • Fully integrated with the plan benefit: The Nox program is fully integrated within the health plan benefit to ensure a frictionless member experience. It works with HDHP and PPO plans, and member cost shares can be applied against their HSA or FSA accounts.
  • Fully integrated with the sponsor’s ecosystem: The Nox program can also be fully integrated within the plan sponsor ecosystem. We integrate with care navigators and advocacy solutions, with onsite and virtual primary care clinics, and with vertical disease management programs.
  • Frictionless physician experience: Nox is responsible for member payments, not the physician.

Our value-based plan design aligns the interests of members, plan sponsors and providers. It makes Nox accountable for member success, ensuring we achieve the best health outcomes and lowest total healthcare costs while maximizing patient and member satisfaction.

  • Sponsors pay only for value: Unlike traditional benefits, plan sponsors only pay for diagnosed plan members who adopt therapy, with no additional cost for education, screening, testing, or diagnosis. Nox assumes that upfront risk.
  • Single bundled case rate: Nox programs use a bundled case-rate pricing structure, where a single payment covers the full care cycle for the treated medical condition. This encourages teamwork and high-value care while eliminating friction points, care gaps, and waste.
  • Fully integrated with the plan benefit: The Nox program is fully integrated within the health plan benefit to ensure a frictionless member experience. It works with HDHP and PPO plans, and member cost shares can be applied against their HSA or FSA accounts.
  • Fully integrated with the sponsor’s ecosystem: The Nox program can also be fully integrated within the plan sponsor ecosystem. We integrate with care navigators and advocacy solutions, with onsite and virtual primary care clinics, and with vertical disease management programs.
  • Frictionless physician experience: Nox is responsible for member payments, not the physician.
And for Nox, they are validated by a third-party with Certilytics. With the incentives placed at the right end of care delivery, Nox delivers unmatched treatment adoption, adherence, and persistence to therapy, which are critical for reducing total healthcare costs for members with chronic conditions.
And for Nox, they are validated by a third-party with Certilytics. With the incentives placed at the right end of care delivery, Nox delivers unmatched treatment adoption, adherence, and persistence to therapy, which are critical for reducing total healthcare costs for members with chronic conditions.
Adoption
0%
members tested for sleep apneaVs 49% in FFS
Adherence
0%
members treated for sleep apneaVs 50% in FFS
Persistence
0%
members treated for sleep apneaVs 30% in FFS
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