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MODEL

OPTIMAL

CARE

The most comprehensive guide available today to help you uncover and eliminate waste and costly inefficiencies within your self-insured health plan.

MOC Cover Mockup - v4

As of 2024, the total amount of waste generated annually within the U.S. healthcare system was $1.2 trillion, an amount that exceeds the GDP of over 180 countries. A significant portion of that waste occurs within employer-sponsored health plans.

U.S. employers lose hundreds of billions of dollars every year to things like inefficiencies, wasteful spending, fraud, and abuse. That level of waste pushes premiums up, squeezes benefits, and forces hard trade-offs across the enterprise.

Drawing on my over 25 years of industry experience and over a decade of research and direct work with employers, plan sponsors, and payers, Model Optimal Care is my answer to this challenge.

This book is the first of its kind written as a roadmap for how to use data-driven strategies, modern analytics, and artificial intelligence to identify, quantify, and eliminate the various categories of waste that keep employers, benefit administrators, and health policymakers up at night.

In this book you'll learn how to:

  • Identify non-technology strategies that you can implement immediately that have been shown to lead to a more efficient and less expensive health plan.

  • Use technology to accurately identify and correct payment integrity issues such as duplicate claims, excessive provider billing practices, and more.

  • Find formulary inefficiencies you can fix now, like substituting therapeutically equivalent generic drugs for more expensive brand name drugs.

  • Identify medical Place-of-Service pricing gaps for commodity services like labs, imaging services, and administered drugs.

  • Implement Emergency Room Redirection by identifying and steering non-emergent visits to urgent care, primary care, or telemedicine.

  • And much more…

This book will equip self-insured entities, health plans, insurers, payers, health policymakers, organizations that serve the self-insured industry like brokers and consultants, with proven strategies that can be implemented immediately to lower costs, improve care, and turn health plans into modern, optimized, cost-efficient, and high-performing plans.

Book Presale

Support my mission to eradicate waste and costly inefficiencies from the U.S. care delivery system.
Reserve your copy of Model Optimal Care today. You may be able to get full reimbursement for your pre-purchase from your employer if they offer educational benefits. 

Choose from one of the presale packages below:

Supporter Package  image

Supporter Package

$100.00

1 softcover copy plus an eBook

Autograph Package image

Autograph Package

$250.00

1 softcover copy personally signed by the author plus an eBook

Author Circle Package image

Author Circle Package

$1,500.00

5 softcover copies personally signed by the author plus eBooks and a personal invitation to a fireside chat at book launch

Corporate Sponsorship image

Corporate Sponsorship

$5,000.00

50 softcover copies personally signed by the author plus eBooks, and a 1-hour webinar on health cost management hosted by the author for your company after book launch

Autograph Package image

Autograph Package

$250.00

1 softcover copy personally signed by the author plus an eBook

Supporter Package  image

Supporter Package

$100.00

1 softcover copy plus an eBook

Model Optimal Care

Newsletter

Subscribe to my newsletter below for early chapter previews, real-world case studies, plan efficiency checklists, and book launch updates so you can start modeling optimal care within your own health plan before the book lands in the spring of 2026.