The future of managing health costs
Ruby is a healthcare cost management company that helps health plans and employer-sponsored programs reduce the total cost of care using advanced data science, analytics, and actuarial expertise.
Ruby transforms complex healthcare data into actionable, savings-driven solutions, enabling organizations to better understand and control their total cost of care.
Ruby's proprietary methodology has been developed, tested and applied by actuaries with several patents pending.
What we do
Data-driven healthcare cost management
Key metrics and benchmarking
Establishing a clear baseline of healthcare spend and performance, while identifying outliers that represent savings opportunities.
Insights to solutions
Translating data signals into evidence-based, customized interventions that address root causes – not just surface-level symptoms.
ROI measurement and optimization
Treating every solution as an accountable investment, tracked and refined through ongoing ROI measurement.
Predictive modeling
Anticipating future cost drivers and identifying at-risk members to enable proactive intervention.
How we create value
Turning data into measurable savings
Clear cost driver understanding
A clear understanding of current cost drivers, using metrics such as PMPM, cost trends, risk scores, claims data, and episode-level analytics.
Root-cause analysis
Root-cause analysis, powered by millions of data points, to uncover the "why" behind rising costs.
Customized solutions
Customized, evidence-based solutions tailored to each organization's unique population and risk profile.
Continuous performance tracking
Continuous performance tracking, including monthly scorecards and solution-level ROI reporting down to the member level.
Measurable impact
Proven results in cost reduction
Ruby delivers demonstrated financial results for it's clients, including:
~$75M in new savings
Approximately $75 million in new savings in a single year, representing about 2% of total cost of care.
$198 million in total cost of care reductions
$198 million in total cost of care reductions achieved since implementation across client populations.
5.75% savings
Early client results showing 5.75% savings on annual claims spend through targeted interventions.
Predictive and proactive capabilities
Looking ahead to control costs earlier
Identify at-risk members
Identify members at risk before high-cost events occur.
Earlier interventions
Enable earlier, more effective interventions.
Improve predictability
Improve cost predictability and long-term affordability.
Who we serve
Health plans and cost-focused healthcare organizations
Ruby primarily supports health plans and organizations responsible for managing population health costs, helping them better understand spend, reduce total cost of care, and demonstrate measurable ROI.
Our team
Deep expertise, applied practically
What sets Ruby apart:
Data science with accountability
Every solution is tracked, measured, and optimized for ROI.
Root-cause focus
Ruby goes beyond benchmarking to uncover why costs occur.
Customized, evidence-based solutions
No one-size-fits-all programs.
Commitment to affordability
Sustainable savings that improve both financial and health outcomes.