For Small and Midsize Employers

Health insurancecompanies answerto Wall Street. Yourhealth plan shouldanswer to your town.

Vxtra Health is the anti-health insurance company. Our mission is to build local independent networks in secondary markets: contracts everyone can read, local doctors making the decisions, and prices that are the prices. No rented network. No secret second set of numbers.

5-minute check · No pitch, no pressure · Your data stays yours

The old way just ran out of places to hide.

Three things changed at once, and together they opened a door your town has never had.

The law changed

Federal law banned the gag clauses that hid your data, and the Transparency in Coverage rules become enforceable January 1, 2027. Plan sponsors now carry the same duty of care they carry on a 401(k).

The insiders are talking

Wendell Potter, a former health insurance executive, now publishes exactly where premium dollars go. The people who ran the old system are the ones explaining it.

The proof is public

Mark Cuban is signing direct contracts with health systems and posting them online for anyone to read. And he says the model is taking hold fastest in smaller markets. Towns like yours.

The door is open. The question is whether your town walks through it before your next renewal.

Health insurance companies have hijacked healthcare.

They keep doctors and nurses from doing what they do best, and patients from getting what they need when they need it. It’s just unacceptable. Here’s one example nobody shows you at renewal: the same hospital, the same procedure, two very different deals.

Their price

The insurance company’s own business

When a big carrier negotiates for itself, it demands the hospital’s best rate and gets it. Their claims run through their code, at their number.

Your price

The network they rent to you

The plan your company pays for leases that same network. Your claims run at a higher number, with exception clauses stacked on top, so a routine visit can become the bill that wrecks your year. The contract that explains it? You’re not allowed to see it.

Follow the money. The first check leaves your payroll and goes to the plan, and the people holding it earn more when the numbers stay hidden. So we stopped renting their system and built our own.

Fully insured or level-funded? Then you get one number a month, no data, and a report you can’t act on. The good news: you skipped the rigged game, which makes you the cleanest start we have. Nothing to unwind. You begin transparent on day one.

The anti-health insurance company.

Our mission is to build local independent networks in secondary markets, town by town, on terms anyone can defend in daylight. Five commitments, in writing:

Direct

Your company and your town's doctors contract with each other. No rented network in the middle.

Transparent

Real prices, disclosed to you. No spread pricing, no hidden fees, no gag clauses, no second set of numbers.

Local

The doctors, nurses, and facilities your employees already know and trust, right across the street.

Prompt and fair

Clean claims paid fast. Doctors treated like partners, because they are.

Auditable

Your claims data is yours by law. We hand it over usable, not buried in a report.

Larry Hightower, Co-Founder and CEO of Vxtra Health
“The difference between your town and the big city was never the quality of the doctors or the commitment of the employers. It’s the organization of the market. We organize it.”
Larry Hightower, Co-Founder and CEO

We’ve sat in your chair. All of them.

Thirty-plus years on every side of healthcare: delivering care, paying for it, and building the companies in between. We know exactly how the old system works. That’s why we left it.

Physician-led

Local doctors lead each patient’s care and hold a seat at the table, not a spot in a directory.

Built and sold before

Our founder built a benefits company serving large physician practices for nearly two decades, sold it, and reinvested everything into this.

One system, one set of numbers

Medical and pharmacy data read together in real time, by people who know the patient.

Nothing to hide

Our incentives are on the page. When your costs fall, we succeed. That’s the whole model.

Larry Hightower, Co-Founder and CEO of Vxtra Health

Larry Hightower

Co-Founder and CEO, Vxtra Health

Larry has spent more than 30 years on every side of healthcare: bringing medical innovation to market, serving large independent physician practices, and building the benefits company Vxtra Partners, which he founded in 2005 and sold in 2023. Instead of retiring, he reinvested everything to build Vxtra Health, a transparent, physician-led plan for the towns the big carriers ignore.

The same claim, seven months apart.

Both stories start with the same symptom, in the same week. The only difference is who’s watching the data: nurses at the top of their license who know your town’s doctors by name, not a call center with a script.

The old way

Week 1A symptom begins
Month 2No one is watching
Month 3Waiting
Month 4Waiting
Month 5Still no one is watching
Month 6Waiting
!
Month 7ER visit. The claim that wrecks your year.

With Vxtra

Week 1A symptom begins
Week 2The signal gets flagged
Week 5A nurse and a local doctor step in
Month 2Condition managed. No ER visit. No surprise bill, either.
Months 3 to 7: nothing. That's the point.

Three steps to a plan you can defend.

Plan sponsor reviewing contracts and plan costs
1

Get your free contract analysis

We read your contracts and your numbers, and show you in plain dollars what the old way is costing your company.

Meeting the local physicians and real prices behind a town's network
2

See your town’s network

Meet the physicians, the real prices, and the plan design built for your market.

A transparent Vxtra Health plan in place with visible costs
3

Switch, and see everything

Your data live, your costs visible, your people cared for by doctors who know their names.

A health insurance company vs. the anti-health insurance company.

This is a platform decision, not a product decision. A flip phone and an iPhone both make calls. Only one of them runs everything.

A health insurance company

  • Rents you a network priced and managed in its own favor
  • Contracts you're not allowed to read
  • Claims data months late, pharmacy somewhere else
  • A call center decides what your doctor can do
  • Plan designs that punish the sick
  • Profits when the numbers stay hidden

Vxtra Health

  • Builds your town its own independent network
  • Contracts anyone can read
  • One set of live numbers, medical and pharmacy together
  • Your doctor decides. That's it.
  • Plan designs that reward the right choice
  • Succeeds when your costs fall

Built for your town, on purpose.

Big cities always had buying power your town never had, because no one organized the local market. We organize it: employers, physicians, and brokers at one table, with one set of transparent numbers.

Not small towns. The right size: big enough for real infrastructure, small enough that people still know each other’s names.

Illustration of a town where employers, physicians, and brokers share one table and one set of numbers
Employers, physicians, and brokers. One table. One set of live numbers.

A modern, AI-first platform. People at the heart of getting it right.

The technology tells us what happened. People help us understand why.

The Platform

AI sees the signal

Medical, pharmacy, and hospitals together in real time.

VxtraCARE · Human in the Loop

A nurse who knows your name steps in

At the top of their license, not a call center with a script. They are there for you every step of the way to make sure you get to the right care.

Your Physician

Your doctor decides

Care decisions happen in the exam room. Never a cubicle three states away.

Every outcome feeds back into the platform, so the whole town’s plan gets smarter.

Real-time claims administration
Real-time analytics
Actionable data
Network collaboration

The right care, at the right place, at the right price, at the right time.

“We didn’t know” is not a defense anymore.

The compounding you’ve already absorbed

Your renewal number isn’t this year’s price. It’s every hidden markup from every past year, baked into the baseline. And every increase from here gets calculated on top of that inflated number, not the fair one.

So waiting doesn’t hold your place. It compounds. A $3 million premium (source: illustrative scenario, Aug 21 planning session) growing at the 9 to 12 percent annual increases carriers are projecting reaches $4.2 to $4.7 million a year by year five (source: compounding math on that same scenario), and the increases along the way add roughly $2 to $4 million in cumulative new cost. The sooner the baseline gets fixed, the less every future year costs.

Today’s premium Added by compounding increases

Illustration: $3M annual premium compounding at 9 to 12 percent per year (source: carrier renewal projections discussed in the Aug 21 planning session; confirm published source before this ships). Chart values source: Aug 21 planning scenario.

History is repeating itself: remember the 401(k)

Brokers once sold employers whatever retirement funds paid the broker the most. Nobody could see the fees. Then the fiduciary standard arrived, and the fines and lawsuits followed. That same standard has now reached health plans. The employers who got ahead of it back then barely felt it. The ones who waited paid for it.

This fall: your renewal letter

Carriers are projecting some of their steepest increases in years [TK: confirm figure and source before publish], and by law the letter can arrive just 60 days before renewal. Not enough time to shop. Unless you already started.

January 1, 2027: the duty to look

The data is yours by law, and regulators now expect you to use it. If you can’t show you watched the numbers, the exposure is yours, your CFO’s, and your board’s.

If you can’t show you watched the numbers, you’re overpaying and exposed at the same time.

Your town has the data. It just needs somewhere to go.

Tell us about your plan and we’ll show you, in plain dollars, what an independent transparent network changes for your costs, your compliance, and your people.

5-minute check · No pitch, no pressure · Your data stays yours

Or email us directly at info@vxtrahealth.com