Everyone is paid in real time, from the same order.
No claims to process. No waiting on reimbursement. No subscription to take part. Every order pays the distributor, the prescriber and the platform the moment it goes through. Organizations chip in savings only when their offer is chosen, and can include an administrative fee.
The principles
Simple rules for every role.
No fee to join
Prescribers, organizations and distributors take part without a subscription.
Paid in real time, no claims
The patient pays once, and every role is paid from that payment in real time. No claims to file, process or wait on.
The platform earns with you
Platform fees are part of each order, so the platform earns only when an order happens.
One honest price
Patients see one all-inclusive price on every offer. No fees at checkout.
Follow the money
One order, every dollar.
The patient pays one price. The organization chips in savings and includes its administrative fee. The distributor, the prescriber and the organization are paid in real time.
What the patient sees
Daily contact lenses · 3-month supply
Employer offer
With a partner distributor
$84.25
- Product
- $92.00
- Delivery
- $5.00
- Employer savings
- −$15.00
- Administrative fee (3%)
- $2.25
- Total
- $84.25
Where every dollar goes
Paid in real time · no claimsMoney in · $99.25
- Patient pays $84.25
- Organization funds $15.00
Money out · $99.25
- Distributor $75.00
- Prescriber margin $20.00
- Organization admin fee (3%) $2.25
- Platform fee $2.00
Platform fee · $2.00 per order
Built into the price the patient sees, so there is no fee at checkout. It is shared by the operator and HealthiatRx. There is no subscription; the platform earns only when an order happens.
- 1. The prescriber set a $100.00 target and a 20% margin: $20.00.
- 2. The distributor's price, with delivery, is $75.00. The employer chips in $15.00 and includes a 3% administrative fee ($2.25), so its offer is $62.25.
- 3. The prescriber's $20.00 margin and the $2.00 platform fee are added: the patient pays $84.25, $15.75 under the target.
Illustrative figures, using the vision-care example from visionprescription.org. Each category sets its own rules.
Role by role
How every role makes money, and what it pays.
Does: Examines the patient and writes the prescription. Sets a target price, a margin and trusted partners once.
Makes money: Where the practice takes part in dispensing: a margin it sets as a percentage of its target price, built into every offer and paid in real time on each order.
Pays: No fee to join.
Does: Teams up with a distributor to build an offer, chips in to fund savings for the people it serves, and can include an administrative fee.
Makes money: An administrative fee it can include in its offer, paid in real time on each order where its offer is chosen, plus the loyalty and goodwill of helping pay.
Pays: Its contribution on orders where its offer is chosen, within limits it sets. No fee to join.
Does: Provides the catalog, prices it, and fulfills orders. Pharmacies, suppliers, distributors and manufacturers.
Makes money: Its product and delivery price on every order it fulfills, paid in real time through the platform, with no claims to process.
Pays: No fee to join.
Does: Brings the prescription, compares every offer they qualify for, and picks one.
Makes money: Savings funded by the organizations they belong to.
Pays: Only the price on the offer they choose.
Does: Runs a branded dispensing platform for one care category, under its own name and domain. visionprescription.org runs vision care.
Makes money: Platform fees that are part of each order, only when transactions occur.
Pays: Uses HealthiatRx technology under an agreement with HealthiatRx.
Does: Builds, runs and improves the dispensing platform and every branded platform on it.
Makes money: A share of the platform fees on each order, plus optional add-ons such as AI Connect.
Pays: —
Funding models
How organizations fund savings.
Insurance and manufacturer savings still exist. On HealthiatRx any organization can fund an offer, in the way that fits its business.
Share of spend
A percentage of what a customer spends with you, like part of a tractor purchase set aside for their prescription safety glasses.
Points & rewards
Let customers redeem loyalty points or rewards toward prescribed products.
Fixed contribution
A set amount per order, per month or per member.
Matching & sponsorship
Match what a member contributes, or sponsor care for a group you choose.
Coming soon
Savings that combine
Today each offer stands on its own and the patient picks the best one. Next, savings from more than one source will combine on a single order: a health plan, a manufacturer program and the organizations a patient belongs to, together.
How the platform makes money
The platform earns when an order happens.
Platform fees
A fee that is part of each order, built into the all-inclusive price. No order, no fee.
Branded platforms
Operators run a dispensing platform for their category on HealthiatRx technology, and share in the platform fees on their orders.
Add-ons
Optional services for any role, such as AI Connect, which links an account to AI assistants. Everything works without them.
FAQ
Questions about the business model
Does anyone pay to join?
When does each role get paid?
Who collects the patient's payment?
Does the patient pay a platform fee?
What does an organization pay if its offer isn't chosen?
Can an organization charge a fee?
Can every prescriber earn a margin?
How does HealthiatRx make money?
How do I reach a real person?
Want the numbers for your category?
Tell us what you prescribe, fund or supply, and we'll walk you through the economics for your role.
Want to see it running? Visit visionprescription.org