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EmployersLower medical costs without compromising on quality or changing networks AdvisorsWin and retain more business by delivering real cost reduction and better outcomesMeasure what matters: outcomes.
FoxIndex helps employers and employees compare providers and facilities using risk-adjusted clinical outcomes, before care happens.
Better decisions start with better data.
Most employees have no way to evaluate the clinical quality of a provider or facility.
FoxIndex scores providers and facilities on real-world clinical outcomes across 100M+ patient episodes annually. It measures what actually matters: complication rates, readmissions, emergency visits, and recovery patterns. The Outfox answer engine pairs that with your plan's contracted rates so employees can compare cost and quality before they get care.
Built from longitudinal claims data that captures what happens before, during, and after care.
Six steps from raw claims to a simple quality tier. Risk adjustment ensures providers are benchmarked fairly against peers in the same specialty and local market — based on the patients they actually treat.
Massive scale, local precision. Healthcare quality analytics built on a multi-payer claims data set spanning commercial and Medicare — enabling fair comparison within the same market.
The largest differences in healthcare spending often come from where care is delivered, not who delivers it.
FoxIndex scores every provider and facility on clinical outcomes. The Outfox answer engine shows what it will cost on your plan. Together, employees can compare hospitals, outpatient centers, imaging facilities, and surgery centers inside the network they already have — no carrier changes, no narrow networks.
A directory listing. A star rating from patient reviews. No way to know if the facility is actually good or what it will actually cost.
Clinical outcomes and your price for each provider and facility, before you choose. Quality and cost, visible — like any other market.
A higher price doesn't mean better care, and the cheapest option isn't always the right one. Outfox's answer engine draws on two separate sources: Transparency in Coverage MRF data for contracted rates, and FoxIndex for clinical outcomes. Cost and quality are shown side by side, never blended into a single score.
Marcus Reyes, MD
Before price is even relevant, employees need to know what their plan covers, whether a provider is in network, and whether the care they're considering is the right care at all. A price file doesn't answer any of that.
The Outfox answer engine closes that gap. It answers plan design questions, checks network status, guides employees to the right site of care, and shows FoxIndex quality scores alongside contracted rates — so employees have everything they need to make a better decision, not just a cheaper one.
FoxIndex is Outfox Health's provider and facility quality scoring system. It uses risk-adjusted clinical outcomes — not consumer reviews — to help employees compare care options before they receive care.
Built on commercial and Medicare claims covering more than 100M lives annually, with 250+ episode types defined across acute, surgical, chronic, and behavioral conditions.
FoxIndex uses risk-adjusted clinical outcomes from real-world claims data. Source data spans commercial and Medicare claims covering more than 100M lives annually. Contracted rates come from Transparency in Coverage machine-readable files (MRF) and are shown alongside quality scores in the Outfox platform, not factored into FoxIndex scoring.
Provider benchmarking compares providers or facilities against similar peers using measures tied to healthcare outcomes, utilization patterns, and quality performance. FoxIndex benchmarks within the same specialty and local market, so comparisons reflect real alternatives a patient could choose.
FoxIndex scores providers and facilities using risk-adjusted clinical outcomes. The Outfox answer engine brings in contracted rates from Transparency in Coverage MRF data so employees can compare cost and quality within their existing network — including hospitals, outpatient centers, imaging facilities, and ambulatory surgery centers. Rather than changing carriers or building narrow networks, employers can guide employees toward higher-value care using the network they already have.
Most price transparency tools show market or network averages and leave employees to figure out the rest. Outfox is different because it combines your plan's actual contracted rates, facility-level guidance, FoxIndex clinical outcomes, and a plain-language answer engine — so employees can compare cost and quality before they get care. FoxIndex is the quality layer: risk-adjusted outcomes benchmarked against local peers, built from a large-scale claims database.
Results are adjusted for patient age, comorbidities, HCC risk scores, prior utilization, and care setting. Performance is calculated as an observed-to-expected ratio so providers are evaluated based on how their patients perform relative to expectations — not based on how complex their case mix happens to be.
No. FoxIndex is built into the Outfox platform and is included within both the Outfox Answer Engine and Den experiences.
FoxIndex is designed to support healthcare guidance and employee decision support inside the Outfox platform. It is not sold as a standalone data feed or separate analytics product. This allows Outfox to surface provider quality analytics and contracted rates side by side, within a single experience, from separate data sources.
See FoxIndex scores for your plan's network.
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