Bounded Health

How Bounded Health operates

Bounded Health functions as managed infrastructure for GLP-1 cost containment. The service operates in four connected stages, each designed to reduce client burden while maintaining clinical rigor.

Conservative cost exposure analysis

Initial assessment

We begin by quantifying your current GLP-1 pharmacy spend and projecting its trajectory under a no-intervention scenario. Analysis includes confidence ranges and assumes conservative estimates.

This assessment identifies the financial scale of the problem and establishes a baseline against which containment will be measured. No member-level data is required at this stage.

Output: Executive cost summary with projected spend in basis points of total pharmacy budget.

Automated cohort monitoring

Continuous assessment

Eligible members are assessed for metabolic stability and taper readiness using structured protocols. The system operates continuously without requiring recurring client input.

Risk scoring is conservative. Members who do not meet stability thresholds are excluded from tapering consideration. Analysis is repeated at regular intervals to reflect changing member status.

Output: Clinical risk assessment with stability scores, confidence intervals, and taper eligibility.

Managed GLP-1 cost containment

Operational execution

Clinical tapering protocols, member communication, and prescriber coordination are handled as a managed service. Oversight is exception-based. Protocols are executed systematically, with human judgment applied where required.

Members receive structured guidance. Prescribers receive protocol-compliant recommendations. Deviations from expected outcomes trigger review and protocol adjustment.

As protocols stabilize and outcomes become predictable, the level of human involvement decreases.

Output: Ongoing tapering management with quarterly outcome reporting.

Infrastructure that operates out of sight

Minimal-touch operation

Once protocols are validated and outcomes are stable, the system operates largely in the background. Reporting becomes quarterly. Client interaction is limited to reviews and approvals.

The service functions like other outsourced health plan operations: predictable, measurable, and invisible until intervention is required.

Output: Quarterly program reviews with cost reduction realized and forward projections.

Operating principles

Safety before speed

Risk thresholds are calibrated conservatively. Members who do not meet stability criteria are excluded from tapering programs regardless of potential cost savings.

Protocol-driven execution

Clinical decisions follow structured protocols. Deviations require documented justification. Human judgment is applied where protocols require interpretation, not as override.

Conservative projections

Cost reduction estimates include confidence intervals and assume conservative success rates. We do not guarantee outcomes. We provide structured management of a complex clinical process.

Minimal operational burden

Clients are not required to deploy software, monitor systems, or manage ongoing operations. Oversight is exception-based. Reporting is quarterly.

To discuss whether managed GLP-1 tapering is appropriate for your population, review your cost exposure with our team.

Discuss a pilot