About
Garner Health AI Navigate is an AI-driven healthcare analytics platform that connects employers, health advisors, health plans, providers, and individual members with the best doctors based on real outcomes data. Powered by the largest claims database in the U.S.—over 60 billion medical records from 320 million patients—Garner's proprietary analytics evaluate providers on diagnostic accuracy and patient outcomes, not just cost or convenience. For employers, Garner integrates nondisruptively into existing health benefit plans to improve care quality and meaningfully reduce healthcare spend without requiring plan or network changes. More than 700 organizations—from 50-person companies to Fortune 50 enterprises—partner with Garner to raise the standard of employee care. For members, the Garner app and a dedicated Concierge team make it simple to find in-network, available, and nearby Top Providers. When members visit a Garner-designated Top Provider, they can be reimbursed for out-of-pocket costs including copays, office visits, tests, and surgeries. For providers, Garner delivers best-in-class performance data through its Garner Insights product, powering value-based care referrals and practice growth. Whether you're an advisor looking to offer clients a high-impact, low-disruption benefit or a health plan seeking outcomes-based provider intelligence, Garner Health provides a data-driven foundation for smarter healthcare decisions.
Key Features
- Largest U.S. Claims Database: Analyzes over 60 billion medical records from 320 million patients to identify which doctors deliver the best diagnostic accuracy and patient outcomes.
- Top Provider Identification: Uses outcomes-based analytics to surface the highest-quality in-network, available, and nearby providers for each member's specific needs.
- Out-of-Pocket Cost Reimbursement: Members who visit Garner-designated Top Providers can receive reimbursements for copays, office visits, medical tests, and surgeries.
- Employer Benefits Integration: Integrates nondisruptively into existing benefit plans and networks, driving healthcare cost reduction and employee engagement without plan changes.
- Garner Insights for Providers: Delivers trusted, outcomes-based performance data to power accurate referrals, value-based care programs, and provider practice growth.
Use Cases
- An HR team at a mid-size company integrates Garner to guide employees toward high-quality in-network doctors, reducing unnecessary specialist visits and lowering overall claims costs.
- A benefits advisor recommends Garner to employer clients as a nondisruptive add-on benefit that improves employee health outcomes without requiring plan redesign.
- An employee uses the Garner app to find a top-rated cardiologist near them, books an appointment, and receives reimbursement for the office visit copay.
- A healthcare provider uses Garner Insights to benchmark their performance data and attract value-based care referrals from employer health plans.
- A large health plan partners with Garner to incorporate outcomes-based provider recommendations into their member experience, improving quality metrics across their network.
Pros
- Massive, Real-World Data Foundation: With 60B+ medical records, the analytics are grounded in the broadest real-world dataset available, making provider recommendations highly reliable.
- No Disruption to Existing Plans: Employers can deploy Garner without changing their health plan or network, lowering barriers to adoption and employee friction.
- Direct Member Financial Incentive: Out-of-pocket reimbursements for Top Provider visits drive high employee engagement and reward better healthcare decisions.
- Serves the Entire Healthcare Ecosystem: Addresses the needs of employers, advisors, health plans, providers, and individual members under one platform.
Cons
- Primarily U.S.-Focused: The platform is built on U.S. claims data and provider networks, limiting applicability for international employers or global health plans.
- Enterprise-Oriented Pricing: Full employer-facing features require a partnership agreement; smaller organizations may find pricing less accessible.
- Limited Transparency on Analytics Methodology: The proprietary nature of the provider-ranking algorithm makes it difficult for end users to independently verify how Top Providers are selected.
Frequently Asked Questions
How does Garner Health identify top-performing doctors?
Garner analyzes over 60 billion medical records from 320 million patients to evaluate providers on diagnostic accuracy and patient outcomes, not just cost or proximity.
Do employees need to change their health insurance plan to use Garner?
No. Garner integrates nondisruptively into your existing health plan and provider network, so employees continue using their current insurance.
How does the out-of-pocket reimbursement work for members?
When members visit a Garner-designated Top Provider, Garner can reimburse eligible out-of-pocket costs including copays, office visit fees, medical tests, and surgeries.
Who is Garner Health designed for?
Garner serves employers (50-life to Fortune 50), benefits advisors, health plans, healthcare providers, and individual members seeking better care guidance.
What is Garner Insights?
Garner Insights is a product for healthcare providers that delivers outcomes-based performance data to support accurate referrals, value-based care initiatives, and practice growth.
