Improve the Network You Have.
Build the Network You Need.
The clinical and financial performance of a DME/O&P program depends on connected decisions: which vendors participate, how reimbursement is structured, which products are selected, and how complex utilization is evaluated.
ARCLYFT works with California health plans, delegated entities, medical groups and other risk-bearing organizations to assess these questions, design practical strategies and support execution. Every engagement is tailored to the client's network, population, data and priorities.
Integrated DME/O&P Strategic Partnership
An ongoing, defined-term partnership—integrated expertise and Market Intelligence across agreed workstreams, with defined scope, capacity, cadence and standing support.
Useful when: You need continuing specialist support across connected priorities, rather than a single project.
Powered by ARCLYFT™ DME/O&P Market Intelligence
Managing Spend. Improving Member Outcomes. Strengthening Payer Experience.
Spend
Sustainable contracting and reimbursement, appropriate utilization, and a clear view of DME/O&P cost exposure.
Member Outcomes
Timely access to appropriate products and care, fewer avoidable delays, continuity of service, and clinically informed product decisions.
Payer Experience
A vendor network that serves your operations: SLA adherence, responsiveness, escalation, reporting, and accountability.
Built on ARCLYFT™ DME/O&P Market Intelligence
ARCLYFT™ Market Intelligence is more than a collection of researched data points. It is our proprietary, continuously developed body of DME/O&P market evidence, industry knowledge and analytical frameworks—built to inform the decisions healthcare organizations face across networks, products, reimbursement and utilization.
Connected Capabilities
Network Design, Contracting & Performance
Evaluate existing vendor coverage and capabilities, identify access and specialty gaps, and help develop the network your population needs. Services may include vendor diligence, nonbinding RFIs, client-authorized RFPs, reimbursement strategy, negotiation support and implementation planning.
Utilization & Reimbursement Strategies
Examine claims, utilization patterns, payment arrangements and code-level cost drivers to understand financial exposure and identify opportunities for better value. ARCLYFT supports reimbursement modeling, client-specific fee-schedule design, and practical recommendations that balance sustainable vendor participation with appropriate care and disciplined spending.
Formulary & Product Strategy
Connect manufacturer and product information with clinical indications, HCPCS coding, benefit and coverage requirements, reimbursement, and available vendor options. Where appropriate, we help translate those considerations into preferred-product approaches and ordering or referral workflows so decisions are informed earlier in the care process.
From Assessment to Implementation Support
We begin with the problem the client needs to solve and the information available to evaluate it. We combine client-specific claims, utilization, roster and contract data, as appropriate, with ARCLYFT™ Market Intelligence to examine available vendor and product options. From there, we develop prioritized recommendations, support the selected contracting or product strategy and help the client establish measures for continued evaluation.
In a Complete partnership, priorities are agreed and revisited together, deliverables are scoped within each workstream, and ARCLYFT's leadership meets with yours on an agreed cadence. Implementation support is included where agreed, and changes in scope are handled through change control.
Clients retain ownership of their provider contracts, network operations, benefit design and authorization decisions. ARCLYFT provides specialized analysis, strategy, negotiation support and agreed implementation assistance—not a turnkey network for sale.
Bring Us the DME/O&P Question You Need to Solve
Need help with one question or a defined project? Compare ARCLYFT™ Explore and ARCLYFT™ Select.