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, and actuarial expertise.
Ruby transforms complex healthcare data into actionable, savings-driven solutions, enabling organizations to better understand where costs originate, why they occur, and how to intervene effectively
Ruby’s proprietary methodology has been developed, tested and applied by actuaries with several patents pending.
What we do
Data-driven healthcare cost management
Ruby partners with healthcare organizations to identify, implement, and continuously optimize cost-saving opportunities across the full spectrum of care. By combining deep analytics with a consultative approach, Ruby delivers measurable financial impact while improving long-term cost management capabilities.
Ruby’s core capabilities include:
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
Ruby’s approach focuses on moving from insight to action – and proving the value of both.
Clients benefit from:
A clear understanding of current cost drivers, using metrics such as PMPM, cost trends, risk scores, claims data, and episode groupings.
Root-cause analysis, powered by millions of data points, to uncover the “why” behind rising costs.
Customized, evidence-based solutions tailored to each organization’s unique population and risk profile.
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 its clients, including:
~75 million 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
Ruby’s predictive modeling platform helps healthcare organizations move beyond reactive cost management by forecasting future risk and expense. The platform supports decision-making across areas such as high-cost conditions, surgical episodes, gaps in care, behavioral health, and chronic disease management.
These models help:
Identify members at risk before high-cost events occur
Enable earlier, more effective interventions
Improve cost predictability and long-term affordability
Case Studies
See Ruby's Impact in Action
Case Study
Driving Value in Chronic Condition Management
A health plan partnered with Ruby to gain deeper visibility into their chronic condition management program — uncovering opportunities to improve outcomes and demonstrate measurable ROI.
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Streamlining Utilization Management Operations
Ruby's Continuous Measurement Engine gave a utilization management program the data clarity it needed to cut inefficiencies, sharpen decision-making, and optimize operations at scale.
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Evaluating a Weight Management Vendor
When a health plan needed an objective view of their weight management vendor's performance, Ruby's measurement platform delivered the evidence-based insights to make a confident decision.
Download Case StudyWho we serve
Health plans and cost-focused healthcare organizations
Ruby primarily supports health plans and organizations responsible for managing population health costs, helping them become true experts in healthcare cost management for their members and clients.
Our Team
Deep expertise, applied practically
Ruby’s team includes actuaries, analysts, data scientists, and statisticians with more than 180 years of combined experience in healthcare analytics and cost reduction. This multidisciplinary expertise enables Ruby to bridge the gap between advanced analytics and real-world operational solutions.
What set’s 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.