Pay Only When Your Members Get Better

STEP 01

Agreement on Success Criteria

Before any procedure, the employer group, Acules, and the partner hospital agree on defined success criteria: procedure completion, 90-day complication rate, and patient-reported outcome measures (PROMs).

STEP 02

Procedure Completed Abroad

The member undergoes their procedure at a JCI-accredited partner hospital. Acules coordinators manage logistics, documentation, and real-time communication throughout.

STEP 03

Outcomes Tracked

Post-procedure outcomes are tracked via patient check-ins at 30, 60, and 90 days. Acules collects standardized outcome data and shares reports with the employer group.

STEP 04

Success Fee Invoiced

Upon confirmed successful outcome, Acules invoices the agreed coordination fee. Hospital procedure costs are settled directly between the employer plan and the facility at pre-negotiated rates.

JCI Accreditation Required

Every partner hospital holds current JCI (Joint Commission International) accreditation - the same standards applied to top US hospitals. JCI hospitals are required to maintain outcome tracking systems.

Standardized PROMs Collection

Patients complete validated outcome questionnaires (such as KOOS for knee procedures, HOOS for hip) at 30, 60, and 90 days post-procedure via the Acules app.

Complication Rate Monitoring

Acules tracks and reports complication and readmission rates for each partner hospital. Hospitals below quality thresholds are removed from the network.

Independent Review

Acules maintains a Clinical Advisory Board that periodically reviews outcome data and sets network quality standards.