Lower-cost procedures through better navigation
Challenge
A family owner winery and production company with a geographically diverse workforce, was looking for ways to reduce unnecessary healthcare spend while helping employees access more affordable, high-quality care options. Reporting from the May 1, 2025 through May 19, 2026 utilization period highlighted growing opportunities to reduce outpatient procedure and imaging costs through improved healthcare navigation and provider steerage.
Like many employers, the organization faced increasing pressure from rising outpatient procedure costs, imaging expenses, and variability in provider pricing across healthcare markets. The employer needed a solution that could improve healthcare cost transparency and guide employees toward lower-cost care settings without disrupting access to care.
Solution
Pinnacle partnered with Valenz KisX to implement a surgical navigation and cost containment strategy focused on identifying lower-cost, high-quality providers for elective procedures and imaging services.
The program helped employees compare provider pricing and access more affordable care options for common outpatient procedures and diagnostic imaging services.
Working closely with the employer, Pinnacle helped:
- Improve healthcare cost transparency
- Guide members toward lower-cost providers
- Reduce unnecessary outpatient procedure spend
- Lower imaging and diagnostic costs
- Support elective procedure navigation
- Improve overall healthcare purchasing efficiency
The strategy focused on helping employees make more informed healthcare decisions while reducing overall healthcare costs for the employer health plan.
Highlight Stats
- $4,187 total gross savings generated
- $4,187 total net savings generated
- 59% total average savings across completed procedures
- 2 procedures completed through KisX navigation
- 61% savings achieved on colonoscopy services
- 55% savings achieved on MRI imaging services
- $2,872 savings generated on outpatient colonoscopy procedures
- $1,315 savings generated on MRI lumbar spine and hip imaging
Results
Reduced outpatient procedure and imaging costs
Through Valenz KisX surgical navigation and provider steerage, Pinnacle helped the winery reduce healthcare costs associated with outpatient procedures and diagnostic imaging services.
Delivered measurable procedure-level savings
Completed procedures generated approximately 59% average savings compared to traditional insurance-based pricing. Specific savings included:
- 61% savings on outpatient colonoscopy services
- 55% savings on MRI lumbar spine and hip imaging
Improved healthcare cost transparency
The Valenz KisX program helped employees compare healthcare pricing options and identify more cost-effective care settings before receiving services, improving healthcare purchasing efficiency and reducing unnecessary spend.
Expanded access to lower-cost, high-quality care options
By guiding members toward alternative outpatient and imaging providers, Pinnacle helped create a more affordable healthcare experience without disrupting access to medically necessary care.
See what Pinnacle Health Solutions can do for you
Reach out to learn how Pinnacle helps winery employers reduce healthcare costs through surgical navigation, healthcare transparency, and lower-cost care solutions.