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2026 BEST IN KLAS
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Reducing Specialty Care Costs & Improving Care Navigation Through Bundled Payments
Points of Light 2026 Case Study 10
Author
Mac Boyter
Author
Aurene Wilford
Brain & Spine Network, MedBen, and Cedar Gate Technologies, an IQVIA Business, partnered to curb escalating brain and spine specialty costs and improve fragmented care navigation by implementing a prospective bundled-payment, Center of Excellence model. Utilizing Cedar Gate’s bundle design capabilities and managed services, the collaborators defined standardized episodes and conservative-first care pathways, and Brain & Spine Network delivered coordinated clinical workflows and high-touch navigation. MedBen reinforced adoption through benefit design changes that reduced member cost sharing and administrative burden. Together, this alignment of incentives reduced unnecessary surgeries, shifted care to lower-cost outpatient settings, and improved the member experience.
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Key Findings:
- Executive Summary
- The Collaborators
- Points of Friction—Challenges to Be Solved
- Action Plan—How the Collaborators Worked Together to Reduce Friction
- Points of Light—Outcomes Achieved Through Collaboration
- Lessons Learned—What Best Practices Can Other Organizations Replicate?
- What's Next?—Vision for the Future
Project Manager
Joel Sanchez
This material is copyrighted. Any organization gaining unauthorized access to this report will be liable to compensate KLAS for the full retail price. Please see the KLAS DATA USE POLICY for information regarding use of this report. © 2026 KLAS Research, LLC. All Rights Reserved. NOTE: Performance scores may change significantly when including newly interviewed provider organizations, especially when added to a smaller sample size like in emerging markets with a small number of live clients. The findings presented are not meant to be conclusive data for an entire client base.