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MixCare Health

MixCare Health is a comprehensive digital health and wellness platform designed to enhance employee benefits, well-being, engagement, and rewards. The platform offers a range of services, including Flexible Spending Accounts (FSA), self-funded outpatient plans, and access to over 3,000 health and wellness services and events. By collaborating with insurance brokers, MixCare Health aims to optimize benefit coverage and achieve cost savings without increasing costs or HR workload.

Core features
  • Self‑Funded Outpatient Wallet: Pay‑as‑you‑go employee wallet with cashless options and reconciliation flows.
  • Large provider & marketplace network: 800+ practitioners and 3,000+ wellness products/services across 30+ categories.
  • Admin / ASO engine & analytics: HR portal, reporting, and Administrative‑Service‑Only flows to simplify claims and compliance.
  • Gamified engagement & rewards (HealthCoin): Incentives and rewards plus white‑label / API integrations for brokers and insurers.
Typical use cases
  • Employers / HR: Flexible benefits, cost control and employee engagement programs.
  • Insurers & brokers: White‑label wellness benefits and distribution partnerships.
  • SMEs & remote workforces: Affordable, on‑demand outpatient access and wellness discounts for distributed teams.
Key technical challenges (platform)
  • Accurate pricing and network onboarding for thousands of services and providers.
  • Real‑time wallet and claims reconciliation with low friction (cashless or pay‑and‑claim flows).
  • Scale and performance for rich marketplace content across mobile and web.
  • Data privacy, regional compliance and integrations with HRIS / insurer systems.
  • Personalization at scale (recommendations, incentives, fraud/abuse controls).
Agency solutions (what we delivered)
  • API‑first architecture & headless CMS: Single source of truth for providers, pricing and region rules enabling white‑label reuse and fast integration.
  • Wallet + ASO workflow engine: Atomic transaction model, reconciliation APIs and pay/claim microservices to remove manual admin work.
  • Provider onboarding & pricing automation: Supplier portal, verification checks and dynamic discount rules to manage thousands of listings.
  • AI personalization & engagement layer: Recommendation engine, HealthCoin gamification and targeted nudges to boost utilization.
  • Enterprise admin & analytics: Role‑based HR dashboards, real‑time KPIs and exportable compliance reports.
  • Mobile‑first performance optimization: Adaptive assets, CDN delivery and lightweight app flows for global users.
Results — benefit & revenue impact (measurable)
  • Operational cost reduction: Platform ASO reduces administrative workload — up to ~80% reduction in claims/record‑keeping overhead.
  • Access & savings for members: Network access to 800+ practitioners and up to 70% discounts on outpatient services; marketplace lists 3,000+ wellness products.
  • Commercial traction: Partnerships with insurers and enterprise clients, positioned for regional expansion and a multi‑hundred‑million market opportunity.

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