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1<title>NIH — Integrated Managed Care for High-Cost Claims</title><meta name="author" content="National Integrative Health"/><meta property="og:site_name" content="National Integrative Health"/><meta property="og:type" content="website"/><meta name="twitter:title" content="National Integrative Health — Pharmacy Cost Containment MSO"/><meta name="twitter:description" content="NIH provides pharmacy cost containment solutions for employers and plan sponsors, identifying high-cost claims and optimizing spend."/><meta name="description" content="Integrated managed care for high-cost pharmacy claims. No implementation fees, no PEPM — pay only when savings are delivered."/><meta property="og:title" content="NIH — Integrated Managed Care for High-Cost Claims"/><meta property="og:description" content="Guaranteed savings on high-cost pharmacy and infusion claims. No fees, no PEPM, no risk. Engage mid-year and pay only when savings are delivered."/><meta property="og:url" content="https://nationalintegrativehealth.com"/><meta property="og:image" content="https://nationalintegrativehealth.com/__l5e/assets-v1/0d51310b-25e0-444e-841e-94434b0b5725/nih-homepage-social-preview.jpg"/><meta name="twitter:card" content="summary_large_image"/><meta name="twitter:image" content="https://nationalintegrativehealth.com/__l5e/assets-v1/0d51310b-25e0-444e-841e-94434b0b5725/nih-homepage-social-preview.jpg"/><link rel="modulepreload" href="/assets/index-BeIv_6mM.js"/><link rel="modulepreload" href="/assets/index-CR-9qv-B.js"/><link rel="modulepreload" href="/assets/dollar-sign-bN1KDPUM.js"/><link rel="modulepreload" href="/assets/shield-check-EGwWPcXF.js"/><link rel="modulepreload" href="/assets/arrow-right-C5US5BRQ.js"/><link rel="modulepreload" href="/assets/stethoscope-jJ7dEPJx.js"/><link rel="modulepreload" href="/assets/search-DWE3i5Dp.js"/><link rel="modulepreload" href="/assets/route-CRFaQxwu.js"/><link rel="modulepreload" href="/assets/users-QKIMuFtV.js"/><link rel="modulepreload" href="/assets/briefcase-Cs0FcdX5.js"/><link rel="modulepreload" href="/assets/layers-BNwzYYtJ.js"/><link rel="icon" type="image/png" href="/__l5e/assets-v1/6f2ef69f-7d43-4d2e-a90c-8bd36865035b/nih-favicon.png"/><link rel="apple-touch-icon" href="/__l5e/assets-v1/6f2ef69f-7d43-4d2e-a90c-8bd36865035b/nih-favicon.png"/><link rel="preconnect" href="https://fonts.googleapis.com"/><link rel="preconnect" href="https://fonts.gstatic.com" crossorigin="anonymous"/><link rel="canonical" href="https://nationalintegrativehealth.com"/>
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1</head><body><div class="flex min-h-screen flex-col bg-background"><header class="sticky top-0 z-50 w-full border-b border-hairline bg-background/95 backdrop-blur supports-[backdrop-filter]:bg-background/80"><div class="mx-auto flex h-24 max-w-7xl items-center justify-between gap-6 px-4 sm:px-6 lg:h-20 lg:px-8"><a class="flex items-center active" aria-label="National Integrative Health home" href="/" data-status="active" aria-current="page"><img src="/assets/nih-logo-D4T_ymOu.png" alt="National Integrative Health" class="h-14 w-auto md:h-16 lg:h-12"/></a><nav class="hidden items-center gap-7 lg:flex"><a class="text-sm font-medium text-ink/80 transition-colors hover:text-brand text-brand" href="/" data-status="active" aria-current="page">Home</a><a class="text-sm font-medium text-ink/80 transition-colors hover:text-brand" href="/solutions">Solutions</a><a class="text-sm font-medium text-ink/80 transition-colors hover:text-brand" href="/how-it-works">How It Works</a><a class="text-sm 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lg:top-20" href="/results"><span class="font-display text-xs uppercase tracking-[0.25em] text-brand">NIH In the Spotlight</span><span class="font-serif-bold text-lg leading-snug text-ink lg:text-xl">See Our Latest Media Appearances<!-- --> <span aria-hidden="true" class="inline-block transition-transform group-hover:translate-x-0.5">→</span></span></a><section class="relative overflow-hidden border-b border-hairline bg-white"><div aria-hidden="true" class="pointer-events-none absolute inset-y-0 right-0 hidden w-1/2 lg:block"><div class="absolute right-12 top-1/2 -translate-y-1/2"><div class="flex items-end gap-3"><div class="h-64 w-1 bg-brand"></div><div class="h-80 w-1 bg-ink"></div><div class="h-48 w-1 bg-brand/50"></div><div class="h-72 w-1 bg-body/40"></div></div></div><div class="absolute right-0 top-24 h-px w-72 bg-brand"></div><div class="absolute bottom-20 right-0 h-px w-48 bg-hairline"></div></div><div class="relative mx-auto max-w-7xl px-4 py-20 sm:px-6 lg:px-8 lg:py-28"><div class="max-w-3xl"><p class="font-display text-xs uppercase tracking-[0.25em] text-brand">Managed Care · High-Cost Claim Intervention</p><h1 class="mt-6 font-display text-5xl leading-[1.04] text-ink sm:text-6xl lg:text-7xl">Guaranteed savings on high-cost drugs.</h1><h2 class="mt-4 font-display leading-snug text-brand text-4xl sm:text-5xl lg:text-6xl" style="color:#70939e">No upfront or out of pocket fees.</h2><p class="mt-8 max-w-2xl font-serif-bold text-xl leading-relaxed text-ink/85 sm:text-2xl">National Integrative Health is a fully integrated fiduciary pharmacy program — data, clinical, sourcing, site of care, actuarial and stop-loss coordination — built to intervene on high-cost, specialty, and infusion medications. You pay only when savings are delivered.</p><div class="mt-10 flex flex-wrap gap-4"><a data-analytics="cta-request-repricing-hero" class="inline-flex items-center justify-center rounded-md px-5 py-3 text-sm font-semibold uppercase tracking-wider transition-colors focus-visible:outline-none focus-visible:ring-2 focus-visible:ring-offset-2 bg-[#70939e] text-white hover:bg-brand hover:text-white focus-visible:ring-brand" href="/repricing-analysis">Submit Repricing Request</a><a data-analytics="cta-see-how-it-works-hero" class="inline-flex items-center justify-center rounded-md px-5 py-3 text-sm font-semibold uppercase tracking-wider transition-colors focus-visible:outline-none focus-visible:ring-2 focus-visible:ring-offset-2 bg-transparent text-ink border border-ink hover:bg-ink hover:text-white focus-visible:ring-ink" href="/how-it-works">See How It Works</a></div><ul class="mt-10 grid gap-3 sm:grid-cols-2"><li class="flex items-center gap-3 text-sm font-medium text-ink"><span class="flex h-6 w-6 flex-none items-center justify-center rounded-full bg-brand/15 text-brand"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="3" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-check h-3.5 w-3.5" aria-hidden="true"><path d="M20 6 9 17l-5-5"></path></svg></span>No implementation fees</li><li class="flex items-center gap-3 text-sm font-medium text-ink"><span class="flex h-6 w-6 flex-none items-center justify-center rounded-full bg-brand/15 text-brand"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="3" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-check h-3.5 w-3.5" aria-hidden="true"><path d="M20 6 9 17l-5-5"></path></svg></span>No PEPM or PMPM</li><li class="flex items-center gap-3 text-sm font-medium text-ink"><span class="flex h-6 w-6 flex-none items-center justify-center rounded-full bg-brand/15 text-brand"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="3" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-check h-3.5 w-3.5" aria-hidden="true"><path d="M20 6 9 17l-5-5"></path></svg></span>Pay only when savings are delivered</li><li class="flex items-center gap-3 text-sm font-medium text-ink"><span class="flex h-6 w-6 flex-none items-center justify-center rounded-full bg-brand/15 text-brand"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="3" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-check h-3.5 w-3.5" aria-hidden="true"><path d="M20 6 9 17l-5-5"></path></svg></span>Start mid-year — or any time</li></ul></div></div></section></div><section class="border-b border-hairline bg-secondary py-24 sm:py-28"><div class="mx-auto max-w-7xl px-4 sm:px-6 lg:px-8"><div class="max-w-3xl"><p class="font-display text-xs uppercase tracking-[0.25em] text-brand">A fully integrated fiduciary pharmacy program</p><h2 class="mt-5 font-display text-4xl leading-tight text-ink sm:text-5xl">One in-house team. Delivering 40% average savings.</h2><p class="mt-6 text-base leading-relaxed text-body">NIH is not a point solution. It is an in-house managed care model that plugs into the plan you already have — handling the high-cost cases that drive the trend, both in pharmacy and for the medications that run through the medical benefit.</p><a class="mt-6 inline-flex items-center gap-2 font-display text-sm uppercase tracking-[0.15em] text-brand hover:text-brand/80 focus:outline-none focus-visible:ring-2 focus-visible:ring-brand/40" href="/solutions">Learn more about our solutions<svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-arrow-right h-4 w-4" aria-hidden="true"><path d="M5 12h14"></path><path d="m12 5 7 7-7 7"></path></svg></a></div></div><div class="group relative mt-14 overflow-hidden" aria-label="Capabilities marquee"><div class="pointer-events-none absolute inset-y-0 left-0 z-10 w-16 bg-gradient-to-r from-secondary to-transparent sm:w-24"></div><div class="pointer-events-none absolute inset-y-0 right-0 z-10 w-16 bg-gradient-to-l from-secondary to-transparent sm:w-24"></div><div class="flex w-max animate-[marquee_40s_linear_infinite] gap-3 group-hover:[animation-play-state:paused] sm:gap-4"><a class="flex shrink-0 items-center gap-3 border border-hairline bg-white px-5 py-4 transition-colors hover:border-brand hover:bg-secondary focus:outline-none focus-visible:ring-2 focus-visible:ring-brand/40" href="/solutions"><span class="flex h-10 w-10 shrink-0 items-center justify-center rounded-full border border-hairline bg-secondary"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-activity h-5 w-5 text-brand" aria-hidden="true"><path d="M22 12h-2.48a2 2 0 0 0-1.93 1.46l-2.35 8.36a.25.25 0 0 1-.48 0L9.24 2.18a.25.25 0 0 0-.48 0l
1-2.35 8.36A2 2 0 0 1 4.49 12H2"></path></svg></span><h3 class="whitespace-nowrap font-display text-sm leading-tight text-ink">Data analytics &amp; repricing</h3></a><a class="flex shrink-0 items-center gap-3 border border-hairline bg-white px-5 py-4 transition-colors hover:border-brand hover:bg-secondary focus:outline-none focus-visible:ring-2 focus-visible:ring-brand/40" href="/solutions"><span class="flex h-10 w-10 shrink-0 items-center justify-center rounded-full border border-hairline bg-secondary"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-pill h-5 w-5 text-brand" aria-hidden="true"><path d="m10.5 20.5 10-10a4.95 4.95 0 1 0-7-7l-10 10a4.95 4.95 0 1 0 7 7Z"></path><path d="m8.5 8.5 7 7"></path></svg></span><h3 class="whitespace-nowrap font-display text-sm leading-tight text-ink">RX Management</h3></a><a class="flex shrink-0 items-center gap-3 border border-hairline bg-white px-5 py-4 transition-colors hover:border-brand hover:bg-secondary focus:outline-none focus-visible:ring-2 focus-visible:ring-brand/40" href="/solutions"><span class="flex h-10 w-10 shrink-0 items-center justify-center rounded-full border border-hairline bg-secondary"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-stethoscope h-5 w-5 text-brand" aria-hidden="true"><path d="M11 2v2"></path><path d="M5 2v2"></path><path d="M5 3H4a2 2 0 0 0-2 2v4a6 6 0 0 0 12 0V5a2 2 0 0 0-2-2h-1"></path><path d="M8 15a6 6 0 0 0 12 0v-3"></path><circle cx="20" cy="10" r="2"></circle></svg></span><h3 class="whitespace-nowrap font-display text-sm leading-tight text-ink">Clinical outreach</h3></a><a class="flex shrink-0 items-center gap-3 border border-hairline bg-white px-5 py-4 transition-colors hover:border-brand hover:bg-secondary focus:outline-none focus-visible:ring-2 focus-visible:ring-brand/40" href="/solutions"><span class="flex h-10 w-10 shrink-0 items-center justify-center rounded-full border border-hairline bg-secondary"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-droplet h-5 w-5 text-brand" aria-hidden="true"><path d="M12 22a7 7 0 0 0 7-7c0-2-1-3.9-3-5.5s-3.5-4-4-6.5c-.5 2.5-2 4.9-4 6.5C6 11.1 5 13 5 15a7 7 0 0 0 7 7z"></path></svg></span><h3 class="whitespace-nowrap font-display text-sm leading-tight text-ink">Infusion &amp; site-of-care</h3></a><a class="flex shrink-0 items-center gap-3 border border-hairline bg-white px-5 py-4 transition-colors hover:border-brand hover:bg-secondary focus:outline-none focus-visible:ring-2 focus-visible:ring-brand/40" href="/solutions"><span class="flex h-10 w-10 shrink-0 items-center justify-center rounded-full border border-hairline bg-secondary"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-clipboard-check h-5 w-5 text-brand" aria-hidden="true"><rect width="8" height="4" x="8" y="2" rx="1" ry="1"></rect><path d="M16 4h2a2 2 0 0 1 2 2v14a2 2 0 0 1-2 2H6a2 2 0 0 1-2-2V6a2 2 0 0 1 2-2h2"></path><path d="m9 14 2 2 4-4"></path></svg></span><h3 class="whitespace-nowrap font-display text-sm leading-tight text-ink">Prior authorization as clinical tool</h3></a><a class="flex shrink-0 items-center gap-3 border border-hairline bg-white px-5 py-4 transition-colors hover:border-brand hover:bg-secondary focus:outline-none focus-visible:ring-2 focus-visible:ring-brand/40" href="/solutions"><span class="flex h-10 w-10 shrink-0 items-center justify-center rounded-full border border-hairline bg-secondary"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-pill h-5 w-5 text-brand" aria-hidden="true"><path d="m10.5 20.5 10-10a4.95 4.95 0 1 0-7-7l-10 10a4.95 4.95 0 1 0 7 7Z"></path><path d="m8.5 8.5 7 7"></path></svg></span>
1<h3 class="whitespace-nowrap font-display text-sm leading-tight text-ink">Ongoing case management</h3></a><a class="flex shrink-0 items-center gap-3 border border-hairline bg-white px-5 py-4 transition-colors hover:border-brand hover:bg-secondary focus:outline-none focus-visible:ring-2 focus-visible:ring-brand/40" href="/solutions"><span class="flex h-10 w-10 shrink-0 items-center justify-center rounded-full border border-hairline bg-secondary"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-chart-line h-5 w-5 text-brand" aria-hidden="true"><path d="M3 3v16a2 2 0 0 0 2 2h16"></path><path d="m19 9-5 5-4-4-3 3"></path></svg></span><h3 class="whitespace-nowrap font-display text-sm leading-tight text-ink">Actuarial &amp; underwriting support</h3></a><a class="flex shrink-0 items-center gap-3 border border-hairline bg-white px-5 py-4 transition-colors hover:border-brand hover:bg-secondary focus:outline-none focus-visible:ring-2 focus-visible:ring-brand/40" href="/solutions"><span class="flex h-10 w-10 shrink-0 items-center justify-center rounded-full border border-hairline bg-secondary"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-shield h-5 w-5 text-brand" aria-hidden="true"><path d="M20 13c0 5-3.5 7.5-7.66 8.95a1 1 0 0 1-.67-.01C7.5 20.5 4 18 4 13V6a1 1 0 0 1 1-1c2 0 4.5-1.2 6.24-2.72a1.17 1.17 0 0 1 1.52 0C14.51 3.81 17 5 19 5a1 1 0 0 1 1 1z"></path></svg></span><h3 class="whitespace-nowrap font-display text-sm leading-tight text-ink">Therapeutic alternatives</h3></a><a class="flex shrink-0 items-center gap-3 border border-hairline bg-white px-5 py-4 transition-colors hover:border-brand hover:bg-secondary focus:outline-none focus-visible:ring-2 focus-visible:ring-brand/40" href="/solutions"><span class="flex h-10 w-10 shrink-0 items-center justify-center rounded-full border border-hairline bg-secondary"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-flask-conical h-5 w-5 text-brand" aria-hidden="true"><path d="M14 2v6a2 2 0 0 0 .245.96l5.51 10.08A2 2 0 0 1 18 22H6a2 2 0 0 1-1.755-2.96l5.51-10.08A2 2 0 0 0 10 8V2"></path><path d="M6.453 15h11.094"></path><path d="M8.5 2h7"></path></svg></span><h3 class="whitespace-nowrap font-display text-sm leading-tight text-ink">Clinical trial coordination</h3></a><a class="flex shrink-0 items-center gap-3 border border-hairline bg-white px-5 py-4 transition-colors hover:border-brand hover:bg-secondary focus:outline-none focus-visible:ring-2 focus-visible:ring-brand/40" href="/solutions"><span class="flex h-10 w-10 shrink-0 items-center justify-center rounded-full border border-hairline bg-secondary"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-file-cog h-5 w-5 text-brand" aria-hidden="true"><path d="M15 8a1 1 0 0 1-1-1V2a2.4 2.4 0 0 1 1.704.706l3.588 3.588A2.4 2.4 0 0 1 20 8z"></path><path d="M20 8v12a2 2 0 0 1-2 2h-4.182"></path><path d="m3.305 19.53.923-.382"></path><path d="M4 10.592V4a2 2 0 0 1 2-2h8"></path><path d="m4.228 16.852-.924-.383"></path><path d="m5.852 15.228-.383-.923"></path><path d="m5.852 20.772-.383.924"></path><path d="m8.148 15.228.383-.923"></path><path d="m8.53 21.696-.382-.924"></path><path d="m9.773 16.852.922-.383"></path><path d="m9.773 19.148.922.383"></path><circle cx="7" cy="18" r="3"></circle></svg></span><h3 class="whitespace-nowrap font-display text-sm leading-tight text-ink">Plan design engineering</h3></a><a class="flex shrink-0 items-center gap-3 border border-hairline bg-white px-5 py-4 transition-colors hover:border-brand hover:bg-secondary focus:outline-none focus-visible:ring-2 focus-visible:ring-brand/40" href="/solutions"><span class="flex h-10 w-10 shrink-0 items-center justify-center rounded-full border border-hairline bg-secondary"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-package-check h-5 w-5 text-brand" aria-hidden="true"><path d="m16 16 2 2 4-4"></path><path d="M21 10V8a2 2 0 0 0-1-1.73l-7-4a2 2 0 0 0-2 0l-7 4A2 2 0 0 0 3 8v8a2 2 0 0 0 1 1.73l7 4a2 2 0 0 0 2 0l2-1.14"></path><path d="m7.5 4.27 9 5.15"></path><polyline points="3.29 7 12 12 20.71 7"></polyline><line x1="12" x2="12" y1="22" y2="12"></line></svg></span>
1<h3 class="whitespace-nowrap font-display text-sm leading-tight text-ink">Lower net-cost pathways</h3></a><a class="flex shrink-0 items-center gap-3 border border-hairline bg-white px-5 py-4 transition-colors hover:border-brand hover:bg-secondary focus:outline-none focus-visible:ring-2 focus-visible:ring-brand/40" href="/solutions"><span class="flex h-10 w-10 shrink-0 items-center justify-center rounded-full border border-hairline bg-secondary"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-activity h-5 w-5 text-brand" aria-hidden="true"><path d="M22 12h-2.48a2 2 0 0 0-1.93 1.46l-2.35 8.36a.25.25 0 0 1-.48 0L9.24 2.18a.25.25 0 0 0-.48 0l-2.35 8.36A2 2 0 0 1 4.49 12H2"></path></svg></span><h3 class="whitespace-nowrap font-display text-sm leading-tight text-ink">Data analytics &amp; repricing</h3></a><a class="flex shrink-0 items-center gap-3 border border-hairline bg-white px-5 py-4 transition-colors hover:border-brand hover:bg-secondary focus:outline-none focus-visible:ring-2 focus-visible:ring-brand/40" href="/solutions"><span class="flex h-10 w-10 shrink-0 items-center justify-center rounded-full border border-hairline bg-secondary"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-pill h-5 w-5 text-brand" aria-hidden="true"><path d="m10.5 20.5 10-10a4.95 4.95 0 1 0-7-7l-10 10a4.95 4.95 0 1 0 7 7Z"></path><path d="m8.5 8.5 7 7"></path></svg></span><h3 class="whitespace-nowrap font-display text-sm leading-tight text-ink">RX Management</h3></a><a class="flex shrink-0 items-center gap-3 border border-hairline bg-white px-5 py-4 transition-colors hover:border-brand hover:bg-secondary focus:outline-none focus-visible:ring-2 focus-visible:ring-brand/40" href="/solutions"><span class="flex h-10 w-10 shrink-0 items-center justify-center rounded-full border border-hairline bg-secondary"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-stethoscope h-5 w-5 text-brand" aria-hidden="true"><path d="M11 2v2"></path><path d="M5 2v2"></path><path d="M5 3H4a2 2 0 0 0-2 2v4a6 6 0 0 0 12 0V5a2 2 0 0 0-2-2h-1"></path><path d="M8 15a6 6 0 0 0 12 0v-3"></path><circle cx="20" cy="10" r="2"></circle></svg></span><h3 class="whitespace-nowrap font-display text-sm leading-tight text-ink">Clinical outreach</h3></a><a class="flex shrink-0 items-center gap-3 border border-hairline bg-white px-5 py-4 transition-colors hover:border-brand hover:bg-secondary focus:outline-none focus-visible:ring-2 focus-visible:ring-brand/40" href="/solutions"><span class="flex h-10 w-10 shrink-0 items-center justify-center rounded-full border border-hairline bg-secondary"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-droplet h-5 w-5 text-brand" aria-hidden="true"><path d="M12 22a7 7 0 0 0 7-7c0-2-1-3.9-3-5.5s-3.5-4-4-6.5c-.5 2.5-2 4.9-4 6.5C6 11.1 5 13 5 15a7 7 0 0 0 7 7z"></path></svg></span><h3 class="whitespace-nowrap font-display text-sm leading-tight text-ink">Infusion &amp; site-of-care</h3></a><a class="flex shrink-0 items-center gap-3 border border-hairline bg-white px-5 py-4 transition-colors hover:border-brand hover:bg-secondary focus:outline-none focus-visible:ring-2 focus-visible:ring-brand/40" href="/solutions"><span class="flex h-10 w-10 shrink-0 items-center justify-center rounded-full border border-hairline bg-secondary"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-clipboard-check h-5 w-5 text-brand" aria-hidden="true"><rect width="8" height="4" x="8" y="2" rx="1" ry="1"></rect><path d="M16 4h2a2 2 0 0 1 2 2v14a2 2 0 0 1-2 2H6a2 2 0 0 1-2-2V6a2 2 0 0 1 2-2h2"></path><path d="m9 14 2 2 4-4"></path></svg></span>
1<h3 class="whitespace-nowrap font-display text-sm leading-tight text-ink">Prior authorization as clinical tool</h3></a><a class="flex shrink-0 items-center gap-3 border border-hairline bg-white px-5 py-4 transition-colors hover:border-brand hover:bg-secondary focus:outline-none focus-visible:ring-2 focus-visible:ring-brand/40" href="/solutions"><span class="flex h-10 w-10 shrink-0 items-center justify-center rounded-full border border-hairline bg-secondary"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-pill h-5 w-5 text-brand" aria-hidden="true"><path d="m10.5 20.5 10-10a4.95 4.95 0 1 0-7-7l-10 10a4.95 4.95 0 1 0 7 7Z"></path><path d="m8.5 8.5 7 7"></path></svg></span><h3 class="whitespace-nowrap font-display text-sm leading-tight text-ink">Ongoing case management</h3></a><a class="flex shrink-0 items-center gap-3 border border-hairline bg-white px-5 py-4 transition-colors hover:border-brand hover:bg-secondary focus:outline-none focus-visible:ring-2 focus-visible:ring-brand/40" href="/solutions"><span class="flex h-10 w-10 shrink-0 items-center justify-center rounded-full border border-hairline bg-secondary"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-chart-line h-5 w-5 text-brand" aria-hidden="true"><path d="M3 3v16a2 2 0 0 0 2 2h16"></path><path d="m19 9-5 5-4-4-3 3"></path></svg></span><h3 class="whitespace-nowrap font-display text-sm leading-tight text-ink">Actuarial &amp; underwriting support</h3></a><a class="flex shrink-0 items-center gap-3 border border-hairline bg-white px-5 py-4 transition-colors hover:border-brand hover:bg-secondary focus:outline-none focus-visible:ring-2 focus-visible:ring-brand/40" href="/solutions"><span class="flex h-10 w-10 shrink-0 items-center justify-center rounded-full border border-hairline bg-secondary"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-shield h-5 w-5 text-brand" aria-hidden="true"><path d="M20 13c0 5-3.5 7.5-7.66 8.95a1 1 0 0 1-.67-.01C7.5 20.5 4 18 4 13V6a1 1 0 0 1 1-1c2 0 4.5-1.2 6.24-2.72a1.17 1.17 0 0 1 1.52 0C14.51 3.81 17 5 19 5a1 1 0 0 1 1 1z"></path></svg></span><h3 class="whitespace-nowrap font-display text-sm leading-tight text-ink">Therapeutic alternatives</h3></a><a class="flex shrink-0 items-center gap-3 border border-hairline bg-white px-5 py-4 transition-colors hover:border-brand hover:bg-secondary focus:outline-none focus-visible:ring-2 focus-visible:ring-brand/40" href="/solutions"><span class="flex h-10 w-10 shrink-0 items-center justify-center rounded-full border border-hairline bg-secondary"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-flask-conical h-5 w-5 text-brand" aria-hidden="true"><path d="M14 2v6a2 2 0 0 0 .245.96l5.51 10.08A2 2 0 0 1 18 22H6a2 2 0 0 1-1.755-2.96l5.51-10.08A2 2 0 0 0 10 8V2"></path><path d="M6.453 15h11.094"></path><path d="M8.5 2h7"></path></svg></span><h3 class="whitespace-nowrap font-display text-sm leading-tight text-ink">Clinical trial coordination</h3></a><a class="flex shrink-0 items-center gap-3 border border-hairline bg-white px-5 py-4 transition-colors hover:border-brand hover:bg-secondary focus:outline-none focus-visible:ring-2 focus-visible:ring-brand/40" href="/solutions"><span class="flex h-10 w-10 shrink-0 items-center justify-center rounded-full border border-hairline bg-secondary"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-file-cog h-5 w-5 text-brand" aria-hidden="true"><path d="M15 8a1 1 0 0 1-1-1V2a2.4 2.4 0 0 1 1.704.706l3.588 3.588A2.4 2.4 0 0 1 20 8z"></path><path d="M20 8v12a2 2 0 0 1-2 2h-4.182"></path><path d="m3.305 19.53.923-.382"></path><path d="M4 10.592V4a2 2 0 0 1 2-2h8"></path><path d="m4.228 16.852-.924-.383"></path><path d="m5.852 15.228-.383-.923"></path><path d="m5.852 20.772-.383.924"></path><path d="m8.148 15.228.383-.923"></path><path d="m8.53 21.696-.382-.924"></path><path d="m9.773 16.852.922-.383"></path><path d="m9.773 19.148.922.383"></path><circle cx="7" cy="18" r="3"></circle></svg></span>
1<h3 class="whitespace-nowrap font-display text-sm leading-tight text-ink">Plan design engineering</h3></a><a class="flex shrink-0 items-center gap-3 border border-hairline bg-white px-5 py-4 transition-colors hover:border-brand hover:bg-secondary focus:outline-none focus-visible:ring-2 focus-visible:ring-brand/40" href="/solutions"><span class="flex h-10 w-10 shrink-0 items-center justify-center rounded-full border border-hairline bg-secondary"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-package-check h-5 w-5 text-brand" aria-hidden="true"><path d="m16 16 2 2 4-4"></path><path d="M21 10V8a2 2 0 0 0-1-1.73l-7-4a2 2 0 0 0-2 0l-7 4A2 2 0 0 0 3 8v8a2 2 0 0 0 1 1.73l7 4a2 2 0 0 0 2 0l2-1.14"></path><path d="m7.5 4.27 9 5.15"></path><polyline points="3.29 7 12 12 20.71 7"></polyline><line x1="12" x2="12" y1="22" y2="12"></line></svg></span><h3 class="whitespace-nowrap font-display text-sm leading-tight text-ink">Lower net-cost pathways</h3></a></div></div><style>
2        @keyframes marquee {
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5        }
6      </style></section><section class="relative border-b border-hairline bg-ink py-20 text-white sm:py-24"><div class="absolute inset-x-0 top-0 h-1 bg-brand" aria-hidden="true"></div><div class="mx-auto max-w-7xl px-4 sm:px-6 lg:px-8"><div class="grid gap-10 lg:grid-cols-12 lg:items-end"><div class="lg:col-span-6"><p class="font-display text-xs uppercase tracking-[0.25em] text-brand">Why NIH is different</p><h2 class="mt-4 font-display text-4xl leading-tight sm:text-5xl">No Redesign. No Replacement. Just Results.</h2></div></div><div class="mt-14 grid gap-px overflow-hidden border border-white/15 bg-white/15 sm:grid-cols-2 lg:grid-cols-4"><div class="flex flex-col bg-ink p-7"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-dollar-sign h-7 w-7 text-brand" aria-hidden="true"><line x1="12" x2="12" y1="2" y2="22"></line><path d="M17 5H9.5a3.5 3.5 0 0 0 0 7h5a3.5 3.5 0 0 1 0 7H6"></path></svg><h3 class="mt-5 font-display text-lg">Zero upfront cost</h3><p class="mt-3 text-sm leading-relaxed text-white/75">No implementation fees. No PEPM. No PMPM. You pay only after savings are delivered and validated.</p></div><div class="flex flex-col bg-ink p-7"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-zap h-7 w-7 text-brand" aria-hidden="true"><path d="M4 14a1 1 0 0 1-.78-1.63l9.9-10.2a.5.5 0 0 1 .86.46l-1.92 6.02A1 1 0 0 0 13 10h7a1 1 0 0 1 .78 1.63l-9.9 10.2a.5.5 0 0 1-.86-.46l1.92-6.02A1 1 0 0 0 11 14z"></path></svg><h3 class="mt-5 font-display text-lg">Start immediately</h3><p class="mt-3 text-sm leading-relaxed text-white/75">No need to wait for renewal. Implement now to reduce high-cost claim exposure right away and experience a better renewal later.</p></div><div class="flex flex-col bg-ink p-7"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-plug h-7 w-7 text-brand" aria-hidden="true"><path d="M12 22v-5"></path><path d="M15 8V2"></path><path d="M17 8a1 1 0 0 1 1 1v4a4 4 0 0 1-4 4h-4a4 4 0 0 1-4-4V9a1 1 0 0 1 1-1z"></path><path d="M9 8V2"></path></svg><h3 class="mt-5 font-display text-lg">Minimal disruption</h3><p class="mt-3 text-sm leading-relaxed text-white/75">NIH can operate as an in-network managed care provider alongside your PBM, TPA, and stop-loss. Most claims remain unchanged.</p></div><div class="flex flex-col bg-ink p-7"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-shield-check h-7 w-7 text-brand" aria-hidden="true"><path d="M20 13c0 5-3.5 7.5-7.66 8.95a1 1 0 0 1-.67-.01C7.5 20.5 4 18 4 13V6a1 1 0 0 1 1-1c2 0 4.5-1.2 6.24-2.72a1.17 1.17 0 0 1 1.52 0C14.51 3.81 17 5 19 5a1 1 0 0 1 1 1z"></path><path d="m9 12 2 2 4-4"></path></svg><h3 class="mt-5 font-display text-lg">Risk sits with us</h3><p class="mt-3 text-sm leading-relaxed text-white/75">Clinical, operational, and execution work is in-house...not outsourced. Outcomes are measured and validated case by case.</p></div></div><div class="mt-12 flex flex-wrap items-center gap-4"><a data-analytics="cta-request-repricing-diff" class="inline-flex items-center justify-center rounded-md px-5 py-3 text-sm font-semibold uppercase tracking-wider transition-colors focus-visible:outline-none focus-visible:ring-2 focus-visible:ring-offset-2 bg-[#70939e] text-white hover:bg-brand hover:text-white focus-visible:ring-brand" href="/repricing-analysis">Submit Repricing Request</a><a data-analytics="cta-how-it-works-diff" class="inline-flex items-center justify-center rounded-md px-5 py-3 text-sm font-semibold uppercase tracking-wider transition-colors focus-visible:outline-none focus-visible:ring-2 focus-visible:ring-offset-2 text-white border border-white/40 hover:text-ink focus-visible:ring-white bg-[#70939e]" href="/how-it-works">See How It Works</a></div></div></section><section class="border-b border-hairline bg-white py-24 sm:py-28"><div class="mx-auto max-w-7xl px-4 sm:px-6 lg:px-8"><div class="flex flex-wrap items-end justify-between gap-6"><div class="max-w-2xl"><p class="font-display text-xs uppercase tracking-[0.25em] text-brand">Impact preview</p><h2 class="mt-5 font-display text-4xl leading-tight text-ink sm:text-5xl">Measurable outcomes — or you don’t pay.</h2><p class="mt-6 max-w-2xl text-base leading-relaxed text-body">NIH’s engagement model is built around a repeatable set of activities — from opportunity identification through validated savings and ongoing reporting.</p></div><a data-analytics="cta-see-results" class="inline-flex items-center gap-2 text-sm font-semibold uppercase tracking-wider text-ink hover:text-brand" href="/results">See full results <svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-arrow-up-right h-4 w-4" aria-hidden="true"><path d="M7 7h10v10"></path><path d="M7 17 17 7"></path></svg></a></div><ol class="mt-14 max-w-3xl space-y-3"><li class="flex items-center gap-4 border border-hairline bg-white px-6 py-4 transition-colors hover:border-brand"><span class="flex h-8 w-8 shrink-0 items-center justify-center rounded-full bg-brand font-display text-sm font-semibold text-white">1</span><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-search h-5 w-5 shrink-0 text-brand" aria-hidden="true"><path d="m21 21-4.34-4.34"></path><circle cx="11" cy="11" r="8"></circle></svg><span class="font-display text-base text-ink">Opportunities identified</span></li><li class="flex items-center gap-4 border border-hairline bg-white px-6 py-4 transition-colors hover:border-brand"><span class="flex h-8 w-8 shrink-0 items-center justify-center rounded-full bg-brand font-display text-sm font-semibold text-white">2</span><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-route h-5 w-5 shrink-0 text-brand" aria-hidden="true"><circle cx="6" cy="19" r="3"></circle><path d="M9 19h8.5a3.5 3.5 0 0 0 0-7h-11a3.5 3.5 0 0 1 0-7H15"></path><circle cx="18" cy="5" r="3"></circle></svg><span class="font-display text-base text-ink">
6Lower net-cost pathways found</span></li><li class="flex items-center gap-4 border border-hairline bg-white px-6 py-4 transition-colors hover:border-brand"><span class="flex h-8 w-8 shrink-0 items-center justify-center rounded-full bg-brand font-display text-sm font-semibold text-white">3</span><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-users h-5 w-5 shrink-0 text-brand" aria-hidden="true"><path d="M16 21v-2a4 4 0 0 0-4-4H6a4 4 0 0 0-4 4v2"></path><path d="M16 3.128a4 4 0 0 1 0 7.744"></path><path d="M22 21v-2a4 4 0 0 0-3-3.87"></path><circle cx="9" cy="7" r="4"></circle></svg><span class="font-display text-base text-ink">Intervention with Members &amp; Providers</span></li><li class="flex items-center gap-4 border border-hairline bg-white px-6 py-4 transition-colors hover:border-brand"><span class="flex h-8 w-8 shrink-0 items-center justify-center rounded-full bg-brand font-display text-sm font-semibold text-white">4</span><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-shield-check h-5 w-5 shrink-0 text-brand" aria-hidden="true"><path d="M20 13c0 5-3.5 7.5-7.66 8.95a1 1 0 0 1-.67-.01C7.5 20.5 4 18 4 13V6a1 1 0 0 1 1-1c2 0 4.5-1.2 6.24-2.72a1.17 1.17 0 0 1 1.52 0C14.51 3.81 17 5 19 5a1 1 0 0 1 1 1z"></path><path d="m9 12 2 2 4-4"></path></svg><span class="font-display text-base text-ink">Outcomes validated</span></li><li class="flex items-center gap-4 border border-hairline bg-white px-6 py-4 transition-colors hover:border-brand"><span class="flex h-8 w-8 shrink-0 items-center justify-center rounded-full bg-brand font-display text-sm font-semibold text-white">5</span><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-file-chart-column-increasing h-5 w-5 shrink-0 text-brand" aria-hidden="true"><path d="M6 22a2 2 0 0 1-2-2V4a2 2 0 0 1 2-2h8a2.4 2.4 0 0 1 1.704.706l3.588 3.588A2.4 2.4 0 0 1 20 8v12a2 2 0 0 1-2 2z"></path><path d="M14 2v5a1 1 0 0 0 1 1h5"></path><path d="M8 18v-2"></path><path d="M12 18v-4"></path><path d="M16 18v-6"></path></svg><span class="font-display text-base text-ink">Ongoing reporting</span></li></ol><p class="mt-10 max-w-3xl text-xs leading-relaxed text-body">Activities and outcomes vary based on each plan’s claims profile, contractual arrangements, and applicable plan terms.</p></div></section><section class="border-b border-hairline bg-secondary py-24 sm:py-28"><div class="mx-auto max-w-7xl px-4 sm:px-6 lg:px-8"><div class="max-w-3xl"><p class="font-display text-xs uppercase tracking-[0.25em] text-brand">Who we serve</p><h2 class="mt-5 font-display text-4xl leading-tight text-ink sm:text-5xl">Built for the stakeholders shaping plan spend.</h2><p class="mt-6 text-base leading-relaxed text-body">NIH supports the full ecosystem around the plan — preserving existing relationships and contractual structures.</p></div><div class="mt-16 hidden sm:block"><div class="relative mx-auto aspect-square w-full max-w-[640px]"><div class="absolute inset-0 rounded-full border border-hairline bg-white/40"></div><div class="absolute inset-[12%] rounded-full border border-dashed border-hairline"></div><div class="absolute inset-0 flex flex-col items-center justify-center text-center"><p class="font-display text-xs uppercase tracking-[0.25em] text-brand">NIH</p><p class="mt-2 max-w-[10rem] font-display text-base leading-snug text-ink">One partner for every seat at the table.</p></div><a class="group absolute flex -translate-x-1/2 -translate-y-1/2 flex-col items-center" style="left:50%;top:4%" href="/who-we-serve"><span class="flex h-20 w-20 items-center justify-center rounded-full border border-hairline bg-white shadow-sm transition-colors group-hover:border-brand sm:h-24 sm:w-24"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-building2 lucide-building-2 h-7 w-7 text-brand" aria-hidden="true"><path d="M10 12h4"></path><path d="M10 8h4"></path><path d="M14 21v-3a2 2 0 0 0-4 0v3"></path><path d="M6 10H4a2 2 0 0 0-2 2v7a2 2 0 0 0 2 2h16a2 2 0 0 0 2-2V9a2 2 0 0 0-2-2h-2"></path><path d="M6 21V5a2 2 0 0 1 2-2h8a2 2 0 0 1 2 2v16"></path></svg></span><span class="mt-3 w-32 text-center font-display text-xs leading-tight text-ink group-hover:text-brand">Self-Funded Employers</span></a><a class="group absolute flex -translate-x-1/2 -translate-y-1/2 flex-col items-center" style="left:85.96424819352937%;top:21.31946911449826%" href="/who-we-serve"><span class="flex h-20 w-20 items-center justify-center rounded-full border border-hairline bg-white shadow-sm transition-colors group-hover:border-brand sm:h-24 sm:w-24"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-briefcase h-7 w-7 text-brand" aria-hidden="true"><path d="M16 20V4a2 2 0 0 0-2-2h-4a2 2 0 0 0-2 2v16"></path><rect width="20" height="14" x="2" y="6" rx="2"></rect></svg></span><span class="mt-3 w-32 text-center font-display text-xs leading-tight text-ink group-hover:text-brand">Brokers &amp; Consultants</span></a><a class="group absolute flex -translate-x-1/2 -translate-y-1/2 flex-col items-center" style="left:94.84668396036389%;top:60.23596296199046%" href="/who-we-serve"><span class="flex h-20 w-20 items-center justify-center rounded-full border border-hairline bg-white shadow-sm transition-colors group-hover:border-brand sm:h-24 sm:w-24"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-heart-pulse h-7 w-7 text-brand" aria-hidden="true"><path d="M2 9.5a5.5 5.5 0 0 1 9.591-3.676.56.56 0 0 0 .818 0A5.49 5.49 0 0 1 22 9.5c0 2.29-1.5 4-3 5.5l-5.492 5.313a2 2 0 0 1-3 .019L5 15c-1.5-1.5-3-3.2-3-5.5"></path><path d="M3.22 13H9.5l.5-1 2 4.5 2-7 1.5 3.5h5.27"></path></svg></span><span class="mt-3 w-32 text-center font-display text-xs leading-tight text-ink group-hover:text-brand">Health Plans</span></a><a class="group absolute flex -translate-x-1/2 -translate-y-1/2 flex-col items-center" style="left:69.95865199940768%;top:91.44456792351127%" href="/who-we-serve"><span class="flex h-20 w-20 items-center justify-center rounded-full border border-hairline bg-white shadow-sm transition-colors group-hover:border-brand sm:h-24 sm:w-24"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-network h-7 w-7 text-brand" aria-hidden="true"><rect x="16" y="16" width="6" height="6" rx="1"></rect><rect x="2" y="16" width="6" height="6" rx="1"></rect><rect x="9" y="2" width="6" height="6" rx="1"></rect><path d="M5 16v-3a1 1 0 0 1 1-1h12a1 1 0 0 1 1 1v3"></path><path d="M12 12V8"></path></svg></span><span class="mt-3 w-32 text-center font-display text-xs leading-tight text-ink group-hover:text-brand">TPAs &amp; PBMs</span></a><a class="group absolute flex -translate-x-1/2 -translate-y-1/2 flex-col items-center" style="left:30.04134800059233%;top:91.44456792351127%" href="/who-we-serve"><span class="flex h-20 w-20 items-center justify-center rounded-full border border-hairline bg-white shadow-sm transition-colors group-hover:border-brand sm:h-24 sm:w-24"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-layers h-7 w-7 text-brand" aria-hidden="true"><path d="M12.83 2.18a2 2 0 0 0-1.66 0L2.6 6.08a1 1 0 0 0 0 1.83l8.58 3.91a2 2 0 0 0 1.66 0l8.58-3.9a1 1 0 0 0 0-1.83z"></path><path d="M2 12a1 1 0 0 0 .58.91l8.6 3.91a2 2 0 0 0 1.65 0l8.58-3.9A1 1 0 0 0 22 12"></path><path d="M2 17a1 1 0 0 0 .58.91l8.6 3.91a2 2 0 0 0 1.65 0l8.58-3.9A1 1 0 0 0 22 17"></path></svg></span><span class="mt-3 w-32 text-center font-display text-xs leading-tight text-ink group-hover:text-brand">Captives &amp; Consortiums</span></a><a class="group absolute flex -translate-x-1/2 -translate-y-1/2 flex-col items-center" style="left:5.153316039636117%;top:60.23596296199047%" href="/who-we-serve"><span class="flex h-20 w-20 items-center justify-center rounded-full border border-hairline bg-white shadow-sm transition-colors group-hover:border-brand sm:h-24 sm:w-24"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-users h-7 w-7 text-brand" aria-hidden="true"><path d="M16 21v-2a4 4 0 0 0-4-4H6a4 4 0 0 0-4 4v2"></path><path d="M16 3.128a4 4 0 0 1 0 7.744"></path><path d="M22 21v-2a4 4 0 0 0-3-3.87"></path><circle cx="9" cy="7" r="4"></circle></svg></span><span class="mt-3 w-32 text-center font-display text-xs leading-tight text-ink group-hover:text-brand">Unions</span></a><a class="group absolute flex -translate-x-1/2 -translate-y-1/2 flex-col items-center" style="left:14.035751806470621%;top:21.319469114498265%" href="/who-we-serve"><span class="flex h-20 w-20 items-center justify-center rounded-full border border-hairline bg-white shadow-sm transition-colors group-hover:border-brand sm:h-24 sm:w-24"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-shield-check h-7 w-7 text-brand" aria-hidden="true"><path d="M20 13c0 5-3.5 7.5-7.66 8.95a1 1 0 0 1-.67-.01C7.5 20.5 4 18 4 13V6a1 1 0 0 1 1-1c2 0 4.5-1.2 6.24-2.72a1.17 1.17 0 0 1 1.52 0C14.51 3.81 17 5 19 5a1 1 0 0 1 1 1z"></path><path d="m9 12 2 2 4-4"></path></svg></span><span class="mt-3 w-32 text-center font-display text-xs leading-tight text-ink group-hover:text-brand">Stop Loss</span></a></div></div><ul class="mt-12 space-y-3 sm:hidden"><li><a class="group flex items-center gap-4 border border-hairline bg-white px-5 py-4" href="/who-we-serve"><span class="flex h-12 w-12 shrink-0 items-center justify-center rounded-full border border-hairline"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-building2 lucide-building-2 h-5 w-5 text-brand" aria-hidden="true"><path d="M10 12h4"></path><path d="M10 8h4"></path><path d="M14 21v-3a2 2 0 0 0-4 0v3"></path><path d="M6 10H4a2 2 0 0 0-2 2v7a2 2 0 0 0 2 2h16a2 2 0 0 0 2-2V9a2 2 0 0 0-2-2h-2"></path><path d="M6 21V5a2 2 0 0 1 2-2h8a2 2 0 0 1 2 2v16"></path></svg></span><span class="font-display text-base text-ink group-hover:text-brand">Self-Funded Employers</span></a></li><li><a class="group flex items-center gap-4 border border-hairline bg-white px-5 py-4" href="/who-we-serve"><span class="flex h-12 w-12 shrink-0 items-center justify-center rounded-full border border-hairline"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-briefcase h-5 w-5 text-brand" aria-hidden="true"><path d="M16 20V4a2 2 0 0 0-2-2h-4a2 2 0 0 0-2 2v16"></path><rect width="20" height="14" x="2" y="6" rx="2"></rect></svg></span><span class="font-display text-base text-ink group-hover:text-brand">Brokers &amp; Consultants</span></a></li><li><a class="group flex items-center gap-4 border border-hairline bg-white px-5 py-4" href="/who-we-serve"><span class="flex h-12 w-12 shrink-0 items-center justify-center rounded-full border border-hairline"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-heart-pulse h-5 w-5 text-brand" aria-hidden="true"><path d="M2 9.5a5.5 5.5 0 0 1 9.591-3.676.56.56 0 0 0 .818 0A5.49 5.49 0 0 1 22 9.5c0 2.29-1.5 4-3 5.5l-5.492 5.313a2 2 0 0 1-3 .019L5 15c-1.5-1.5-3-3.2-3-5.5"></path><path d="M3.22 13H9.5l.5-1 2 4.5 2-7 1.5 3.5h5.27"></path></svg></span><span class="font-display text-base text-ink group-hover:text-brand">Health Plans</span></a></li><li><a class="group flex items-center gap-4 border border-hairline bg-white px-5 py-4" href="/who-we-serve"><span class="flex h-12 w-12 shrink-0 items-center justify-center rounded-full border border-hairline"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-network h-5 w-5 text-brand" aria-hidden="true"><rect x="16" y="16" width="6" height="6" rx="1"></rect><rect x="2" y="16" width="6" height="6" rx="1"></rect><rect x="9" y="2" width="6" height="6" rx="1"></rect><path d="M5 16v-3a1 1 0 0 1 1-1h12a1 1 0 0 1 1 1v3"></path><path d="M12 12V8"></path></svg></span><span class="font-display text-base text-ink group-hover:text-brand">TPAs &amp; PBMs</span></a></li><li><a class="group flex items-center gap-4 border border-hairline bg-white px-5 py-4" href="/who-we-serve"><span class="flex h-12 w-12 shrink-0 items-center justify-center rounded-full border border-hairline"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-layers h-5 w-5 text-brand" aria-hidden="true"><path d="M12.83 2.18a2 2 0 0 0-1.66 0L2.6 6.08a1 1 0 0 0 0 1.83l8.58 3.91a2 2 0 0 0 1.66 0l8.58-3.9a1 1 0 0 0 0-1.83z"></path><path d="M2 12a1 1 0 0 0 .58.91l8.6 3.91a2 2 0 0 0 1.65 0l8.58-3.9A1 1 0 0 0 22 12"></path><path d="M2 17a1 1 0 0 0 .58.91l8.6 3.91a2 2 0 0 0 1.65 0l8.58-3.9A1 1 0 0 0 22 17"></path></svg></span><span class="font-display text-base text-ink group-hover:text-brand">Captives &amp; Consortiums</span></a></li><li><a class="group flex items-center gap-4 border border-hairline bg-white px-5 py-4" href="/who-we-serve"><span class="flex h-12 w-12 shrink-0 items-center justify-center rounded-full border border-hairline"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-users h-5 w-5 text-brand" aria-hidden="true"><path d="M16 21v-2a4 4 0 0 0-4-4H6a4 4 0 0 0-4 4v2"></path><path d="M16 3.128a4 4 0 0 1 0 7.744"></path><path d="M22 21v-2a4 4 0 0 0-3-3.87"></path><circle cx="9" cy="7" r="4"></circle></svg></span><span class="font-display text-base text-ink group-hover:text-brand">Unions</span></a></li><li><a class="group flex items-center gap-4 border border-hairline bg-white px-5 py-4" href="/who-we-serve"><span class="flex h-12 w-12 shrink-0 items-center justify-center rounded-full border border-hairline"><svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="1.5" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-shield-check h-5 w-5 text-brand" aria-hidden="true"><path d="M20 13c0 5-3.5 7.5-7.66 8.95a1 1 0 0 1-.67-.01C7.5 20.5 4 18 4 13V6a1 1 0 0 1 1-1c2 0 4.5-1.2 6.24-2.72a1.17 1.17 0 0 1 1.52 0C14.51 3.81 17 5 19 5a1 1 0 0 1 1 1z"></path><path d="m9 12 2 2 4-4"></path></svg></span><span class="font-display text-base text-ink group-hover:text-brand">Stop Loss</span></a></li></ul><div class="mt-12 flex justify-center"><a class="inline-flex items-center gap-2 text-sm font-semibold uppercase tracking-wider text-ink hover:text-brand" href="/who-we-serve">Explore who we serve <svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="no
6ne" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-arrow-right h-4 w-4" aria-hidden="true"><path d="M5 12h14"></path><path d="m12 5 7 7-7 7"></path></svg></a></div></div></section><section class="border-b border-hairline bg-white py-24 sm:py-28"><div class="mx-auto max-w-7xl px-4 sm:px-6 lg:px-8"><div class="grid gap-12 lg:grid-cols-12"><div class="lg:col-span-5"><p class="font-display text-xs uppercase tracking-[0.25em] text-brand">Where the spend actually goes</p><h2 class="mt-5 font-display text-4xl leading-tight text-ink sm:text-5xl">A few claims, an outsized impact.</h2><p class="mt-6 max-w-md text-base leading-relaxed text-body">High-dollar cases like specialty drugs and infusions sit at the intersection of clinical decision-making, sourcing, and plan design. That is where coordinated intervention pays off.</p><a class="mt-6 inline-flex items-center gap-2 font-display text-sm font-semibold uppercase tracking-wider text-brand hover:text-ink transition-colors" href="/how-it-works">How it works<svg xmlns="http://www.w3.org/2000/svg" width="24" height="24" viewBox="0 0 24 24" fill="none" stroke="currentColor" stroke-width="2" stroke-linecap="round" stroke-linejoin="round" class="lucide lucide-arrow-right h-4 w-4" aria-hidden="true"><path d="M5 12h14"></path><path d="m12 5 7 7-7 7"></path></svg></a></div><div class="grid gap-6 sm:grid-cols-2 lg:col-span-7"><div class="flex flex-col border-t-2 border-brand bg-white p-6"><p class="font-display text-xs uppercase tracking-[0.2em] text-ink">High-cost claim exposure</p><p class="mt-4 text-sm leading-relaxed text-body">Just 5-8% of pharmacy claims drive 50-85% of plan spend each year.</p></div><div class="flex flex-col border-t-2 border-brand bg-white p-6"><p class="font-display text-xs uppercase tracking-[0.2em] text-ink">Specialty + infusion spend</p><p class="mt-4 text-sm leading-relaxed text-body">Biologics, gene and cell therapies, and infusion-administered drugs swing per-case costs by tens of thousands of dollars depending on site of care and billing pathway.</p></div><div class="flex flex-col border-t-2 border-brand bg-white p-6"><p class="font-display text-xs uppercase tracking-[0.2em] text-ink">Medical benefit blind spots</p><p class="mt-4 text-sm leading-relaxed text-body">Infusion and provider-administered drugs often run through the medical benefit, outside the PBM. Without coordinated oversight, opportunities go unseen.</p></div><div class="flex flex-col border-t-2 border-brand bg-white p-6"><p class="font-display text-xs uppercase tracking-[0.2em] text-ink">Stop-loss coordination</p><p class="mt-4 text-sm leading-relaxed text-body">Catastrophic claims drive stop-loss renewals. By coordinating high-cost cases with the stop-loss carrier, NIH helps reduce laser risk, curb renewal rate increases, and drive discounts of 5-10%.</p></div></div></div></div></section><section class="relative bg-ink py-24 text-white sm:py-28"><div class="absolute inset-x-0 top-0 h-1 bg-brand" aria-hidden="true"></div><div class="mx-auto max-w-7xl px-4 sm:px-6 lg:px-8"><div class="grid gap-12 lg:grid-cols-12 lg:items-end"><div class="lg:col-span-8"><p class="font-display text-xs uppercase tracking-[0.25em] text-brand">Start with a Repricing Analysis</p><h2 class="mt-5 font-display text-4xl leading-tight sm:text-5xl lg:text-6xl">See exactly where your plan is overspending.</h2><p class="mt-6 max-w-2xl font-serif-bold text-xl leading-relaxed text-white/90">Share a few details and NIH will return a free Repricing Analysis showing the high-cost cases where coordinated intervention would change the outcome. No implementation fee. No PEPM. You pay only when savings are delivered.</p></div><div class="flex flex-wrap gap-3 lg:col-span-4 lg:justify-end"><a data-analytics="cta-request-repricing-final" class="inline-flex items-center justify-center rounded-md px-5 py-3 text-sm font-semibold uppercase tracking-wider transition-colors focus-visible:outline-none focus-visible:ring-2 focus-visible:ring-offset-2 bg-[#70939e] text-white hover:bg-brand hover:text-white focus-visible:ring-brand" href="/repricing-analysis">Submit Repricing Request</a><a data-analytics="cta-contact-final" class="inline-flex items-center justify-center rounded-md px-5 py-3 text-sm font-semibold uppercase tracking-wider transition-colors focus-visible:outline-none focus-visible:ring-2 focus-visible:ring-offset-2 text-white border border-white/40 hover:text-ink focus-visible:ring-white bg-[#70939e]" href="/contact">Talk to NIH</a></div></div></div></section>
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