Engineers of a Better Healthcare Model
At PriceMDs, we’re relentless about removing obstacles, restoring choice, and delivering exceptional care at a fair price. It’s a win-win for all parties.
We Believe Healthcare Should Serve People, Not Profits.
For many Americans, accessing the medical care they need at a price they can afford has become an uphill battle, and rising healthcare costs continue to widen the gap.
PriceMDs exists to change that.
We coordinate access to imaging, surgery, and specialty medications at lower costs by building clinical oversight into each case. Our team negotiates bundled pricing directly with facilities, and nurse navigators stay involved throughout the process so care moves efficiently and expenses remain controlled.
The result is meaningful savings for employer-sponsored health plans and improved access for members. We work to contain cost while changing the way people access healthcare.
Our Model for Coordinating Healthcare
Serving Self-Insured Health Plans
PriceMDs works with several Brokers, PBMs, TPAs and Stop Loss carriers. These organizations need practical ways to manage rising costs while continuing to offer meaningful access to care.
Our role is to support that balance with structured cost management programs designed for employer-sponsored plans to help uphold their fiduciary responsibility.
Addressing High-Cost, High-Variation Services
Certain services consistently drive a large share of plan spend. Imaging, outpatient surgery, and specialty medications often vary widely in price, even within the same market. Without defined pricing and oversight, that variation can translate into unpredictable expenses for employers.
We focus on bringing discipline to these areas where the financial impact is most significant.
Bringing Structure to Healthcare Pricing
Our model centers on negotiating bundled agreements with facilities across the country so reimbursement is defined in advance. Each case is supported by clinical oversight and nurse coordination, which helps keep care organized and financially aligned.
For specialty medications, we implement direct sourcing programs that reduce excess markups and create greater cost stability for employer health plans.
Leadership
Our Journey
Since 2013, PriceMDs has been on a mission to re-engineer how Americans access care by turning a fragmented system into one based on patient-first care and affordability. Explore the milestones that shaped our growth, innovation, and impact in the self-insured employer market.
Company Founded
Launched business to consumer website.
TPAs/Self-Insureds
Expanded serve to self-insured employers and TPAs, establishing a scalable enterprise model.
ABBY Award
Won the first place Diamond ABBY Award for innovation in healthcare, recognizing early adoption of bundled pricing within employer-sponsored plans.
Treatment Cost Containment
Sent first Treatment Cost Containment (TCC)† patients to Grand Cayman.
First Dividend Payout
Turned cash flow positive and profitable and established long-term operating stability and financial sustainability.
NFL Alumni
Established partnership with NFL Almuni to provide high-quality medical services at a reduced cost to NFLA members and their families.
500th Client
Signed the 500th self-insured company and launched Telehealth.
Launch of NearCare™ Cost Containment
Introduced NearCare Cost Containment (NCCC), formerly Surgery Cost Containment (SCC), and expanded national imaging and ambulatory surgery access for employer-sponsored plans
Audit Completed
Conducted independent audit by a nationally recognized accounting firm Cherry Bekaert, reinforcing financial governance and operational integrity.
Launch of 2.0 Directory
Launched Proprietary SaaS Subscription Directory Platform 2.0, featuring ambulatory surgery centers performing more than 400 elective procedures, with nationwide imaging services also accessible through the platform.
Moved from to new office location in Clearwater, FL
Moved from original location in Oldsmar, FL to accommodate growth, improve client service, and upgrade our facilities.
Rebranded Solutions
Refreshed the PriceMDs branding, along with the new names of SourceDirectRx (SDRx) formerly Treatment Cost Containment (TCC) and NearCare™ Imaging & Surgery (NCIS), formerly NearCare™ Cost Containment (NCCC)
Launch of API Integration Platform
Introduced a connected platform that brings specialty medication pricing, patient onboarding, compliance visibility, shipment tracking and claims reporting into existing PBM, TPA and healthcare workflows
† This program has been discontinued and is no longer available for PriceMDs clients.
Ready To Experience a
Different Kind of Healthcare?
Contact us today to get started.
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