GuidedEdge: The “Goldilocks” Option for Smarter Benefits cover art

GuidedEdge: The “Goldilocks” Option for Smarter Benefits

GuidedEdge: The “Goldilocks” Option for Smarter Benefits

Listen for free

View show details

About this listen

What if there was a benefits strategy that wasn’t too rigid… and wasn’t too risky…but just right?

In Segment 7 of Blueprints for Better Benefits, we introduce GuidedEdge®, Triforta’s proprietary alternative funding methodology designed for employers who feel trapped between high-cost fully insured plans and the perceived risk of full self-funding.

GuidedEdge is the bridge, combining the predictability of fully insured, the flexibility of self-funding, and the upside participation of more advanced risk models, without the long runway or governance lift of a captive.

If you’ve ever said:

  • “Fully insured is too expensive”
  • “Self-funding feels like too big of a leap”
  • “We want transparency without sleepless nights”

This episode was built for you.

Episode Highlights

  • Why GuidedEdge is known as the “Goldilocks” option, not too hot, not too cold
  • How GuidedEdge compresses implementation timelines to 3–4 weeks
  • The role of advanced stop-loss and shared-risk layers in stabilizing cost
  • Real-world results: 148+ GuidedEdge clients, $10M in claims paid, $4M+ in underwriting profit returned
  • How fewer than 8% of U.S. employers are using strategies like this today
  • Where GuidedEdge fits on the funding spectrum (fully insured → self-funded → captive)
  • How utilization data reveals the “bell curve of opportunity” inside every plan
  • Why monetizing low utilizers while protecting against high-cost claims changes everything
  • Side-by-side plan comparisons showing real savings with no network disruption

Who GuidedEdge Is Built For

  • Employers with 20+ enrolled employees
  • Organizations facing abnormal or double-digit renewals
  • CFOs and HR leaders seeking claims transparency and predictability
  • Employers who want flexibility without catastrophic risk exposure
  • Physician groups, school districts, construction, mining, and mid-market employers
  • Leadership teams ready to rethink how healthcare dollars actually work

Key Takeaway

Most employers don’t need an all-or-nothing solution.

GuidedEdge proves there is a middle path, one that:

  • Lowers costs
  • Improves transparency
  • Limits downside risk
  • Shares upside savings
  • Preserves employee experience

It’s not an insurance product. It’s a strategy, designed, governed, and supported by Triforta’s team of actuaries, analysts, and benefit strategists.

Learn More & Connect

📩 hello@triforta.com

🌐⁠https://www.triforta.com/education⁠

🔗LinkedIn: @Triforta-partners

We are Triforta.

And this is how employers take control, reduce volatility, and finally sleep at night.

GuidedEdge isn’t about taking a bigger risk. It’s about taking a smarter one.

No reviews yet