
Thoughtfully Transforming Healthcare Delivery TM
- Our Clinical Pathways
- Solutions
- …
- Our Clinical Pathways
- Solutions
Thoughtfully Transforming Healthcare Delivery TM
- Our Clinical Pathways
- Solutions
- …
- Our Clinical Pathways
- Solutions
Partners in Managed Care
making complex healthcare
AFFORDABLE - ACCESSIBLE - ACTIONABLE - INFORMED - MEASURED - MANAGED
Managed Care with Molecular Precision
Drive Lower Costs and Better Results
BioConnetiX designs, deploys, and manages evidence-based clinical pathways inside existing networks – resolving high-cost challenges with technology-assisted solutions that integrate advanced science and connected specialty care to deliver consistent, streamlined results.
Healthcare is Complex. Managing it Doesn't Have to Be.
With BioConnetiX, your organization gains a trusted carve-out vendor with precision tools
for seamless, cost-effective multidisciplinary care plan management with measurable impact.
How It Works
A Carve-Out Model for Smarter Care
BioConnetiX operates much like a managed care organization (MCO) – we manage both the financing and delivery of healthcare services. The difference is focus: we concentrate exclusively on specific clinical pathways, allowing us to achieve precision, efficiency, and measurable results.
Specialized Carve-Out Vendor
We contract with existing MCOs, insurers, health systems, and military systems as a carve-out vendor to manage designated conditions. For each pathway, BioConnetiX assumes responsibility for financing and care delivery, receiving payments through per-member fees, fee-for-service, or other value-based arrangements.
Network Development
Our team builds and manages a specialty provider network tailored to the conditions we manage. This includes clinical laboratories, telehealth physicians, ordering providers, and multidisciplinary specialists.
Coordinated Care for Complex Populations
We oversee every step of the pathway to ensure seamless coordination across providers. By aligning clinical care with financial accountability, BioConnetiX both controls costs and improves outcomes for the populations we manage.
Fixed Payments, Measurable Value
We negotiate fixed payments with providers, manage utilization, and standardize care protocols. This approach ensures transparency, reduces variability, and delivers measurable improvements in both quality and cost.
BioConnetiX Managed Care Solutions
Integrating Science and Systems to Deliver Measurable Impact, One Pathway at a Time
Who We Serve
Partners in Managing Complex Cases & Populations
We collaborate with health insurance providers, government agencies, military systems, health systems, managed care organizations, self-insured employers and commercial liability carriers to design and manage clinical pathways that challenge or constrain existing networks. Our solutions are built to optimize outcomes through advanced science, efficiently connect resources and providers, and manage costs with measurable results.
- Affordable: Solutions designed to cost less than today’s standard of care
- Actionable: Real-time insights and decision support embedded into clinical workflows
- Informed: Transform data into results with sophisticated analytic and informatic solutions
- Accountable: Transparent measurement of outcomes across entire populations
Our Approach
One Pathway at a Time
BioConnetiX focuses on single-pathway solutions, delivering targeted care models that improve outcomes while reducing total cost of care. By integrating micro-level diagnostics, advanced science, and specialty networks within a data-driven framework, we ensure every pathway is efficient, evidence-based, and scalable. We call this approach analytic medicine: the fusion of molecular science, data, and technology into connected patient care.
Work with us to deploy an existing BioConnetiX pathway or collaborate on building a new, customized solution for your population.
Integrating Advanced Care with Financial Stewardship
Eliminate Waste, Add Value
Integrating advanced diagnostics and sub-specialty care should reduce costs – not increase them. Yet many systems struggle to adopt these tools because integration is complex, standards are inconsistent, and testing is costly.
BioConnetiX solves this problem. We manage your most challenging care pathways end-to-end – and we assume the financial risk. Molecular-level science and performance tracking are embedded directly into our care delivery solutions, creating immediate value today while building an affordable, adaptable, and scalable foundation for tomorrow.
Our programs ensure coverage for the care that matters through turnkey managed pathways that:
- Reduce waste and unnecessary spend
- Standardize protocols and enforce guideline adherence
- Provide transparent outcome reporting against baseline KPIs
- Deliver measurable, defensible value across populations
Implementation
Seamless Pathway Deployment, Scaled for Impact
BioConnetiX helps organizations implement pathways that integrate directly into existing medical workflows. Each pathway is designed to deliver objective diagnostics, confident triage, progression monitoring, and long-term management – all through a comprehensive, scalable system.
- Customized Integration: We align with your network to adapt processes, data systems, and reporting requirements
- Phased Rollout: Deployments begin with pilot programs that capture early value, followed by iterative optimizations in partnership with your team
- Automation & Scale: Once workflows are refined, we automate processes and expand seamlessly across departments and populations
- Dynamic Analytics: Our data structure supports tailored dashboards, real-time reporting against your baseline metrics, and ongoing adaptability for future needs or multi-department integration
The result: an efficient, evidence-driven implementation process that minimizes disruption, reduces risk, and positions your organization to scale advanced care pathways with confidence.
Utilization Control, Standardization, Decision-Support & Outcomes Reporting
Backed by Financial Risk Assumption
- 1
Affordable
Aligned Laboratory Ecosystem
created from Meticulous Planning between
Physicians, Scientists, Engineers,
& Operators
for Optimized Offerings, Operations & Cost
achieved through
Structured Change Management,
Specialization, Standardization & Centralization,
and enabled by Sophisticated Technology & efficient use of Telemedicine
2Accessible
Integrated Care Network
of Laboratories, Molecular Pathologists, Genetic Specialists & Research Institutions
who collaborate to provide
Connected, Personalized Medicine
tailored by advanced diagnostics
and fueled by a Technological Powerhouse
managing sophisticated workflows, automations & integrated decision-support tools
3Actionable
Evidence-Based Clinical Pathways
from Clinical Workup
to Defined Plans of Care
created by Multidisciplinary
Physician Teams with a Bias
toward creating
Comprehensive Pathway Solutions
integrated into a novel Managed Care Platform
with always-on access to specialists
4Informed
Empowered Care
through Objective Testing, Value-Based Pricing, Customized Deployment, managed care Pathways, and
Continuous Optimization with Machine Learning
5Measured
Outcomes-Driven Healthcare
enabled by Capturing & Trending
any Data Element for Insight into
Clinical Utility, Clinical Outcomes, and Costdelivered through Benchmark Reporting, Transparent Analytics, and Defensible Value
6Managed Care
Utilization Controls
Pricing Controls
Regimented Processes
Built-in Decision-Support Workflows
Repeatable, Reported Results
..
BioConnetix
Intelligently advancing evidence-based analytic medicine
From Science to System, From Data to Outcomes
Transforming Advanced Science into Scalable, Cost-Effective Pathways
© 2025