Self-Funded Outpatient Plan

Take Control of Outpatient Healthcare Costs

AI-powered claims processing, cashless panel doctor access, and customisable stop-loss plans — giving you full visibility and control over outpatient spending.

Measurable impact from day one

40%+

HR Admin Time Saved

30%

Average cost reduction

93%+

Employee satisfaction rate

Why MixCare

The Market Pain Points We Solve

Traditional outpatient benefit faces mounting pressure from rising costs, rigid structures, and data blind spots. MixCare addresses each one head-on.

High Medical Cost Inflation Over 10% Per Year

Healthcare costs are rising faster than most benefit budgets can absorb. Employers face uncapped cost escalation risks, making outpatient schemes increasingly unsustainable year on year.

Lack of Flexibility in Benefit Policy Customisation

Traditional outpatient plans are rigid — fixed panel lists, reimbursement rules, and one-size-fits-all coverage that fails diverse workforces. Employers can't tailor benefits by employee tier, geography, or lifestyle need, making it difficult to improve employee satisfaction with their benefits.

Lack of Real-Time Data Usage and Insight

Most traditional outpatient plans require reports to be requested from providers, which can take weeks or even months to generate. By the time cost anomalies or fraud patterns are visible, the damage is already done.

Cross-Border Workforce Healthcare Challenges

Organisations operating internationally must navigate different healthcare systems, regulatory frameworks, and service providers — maintaining multiple separate schemes that create high administrative complexity and no consolidated view of total benefit spend.

Our Approach

How We Solve It

MixCare replaces rising costs, rigid structures, and data blind spots with a fully managed, AI-powered outpatient platform.

01

Stop-Loss Cost Control

Replace unpredictable premium inflation with a self-funded model and configurable stop-loss thresholds. You only pay for actual claims — and when costs spike, your stop-loss layer kicks in automatically.

Average 30% cost reduction
02

AI-Powered Claims & Fraud Prevention

Every claim is processed by our AI engine — validating coverage, detecting fraud patterns, and settling 98% of claims within 24 hours. No manual review queues, no delays, no surprises.

>95% fraud detection rate
03

Real-Time Dashboard & Cross-Border Coverage

Get live visibility into spending, utilisation, and trends — across all markets. Our 2,000+ panel doctor network spans HK, MO, and SG, with multi-currency payouts handled automatically.

2,000+ doctors across HK, MO & SG
04

MixCare Medical Network

Access MixCare's 2,000+ panel doctor network across Hong Kong, Macau, and Singapore with exclusive rates — giving your employees cashless, hassle-free outpatient visits.

Exclusive panel rates
Know More

Who It's For

Is a Self-Funded Outpatient Plan Right for You?

The right companies share these characteristics — see if your organisation fits.

Companies Facing Annual Medical Cost Increases

If year-on-year premium renewals are unpredictable and rising, self-funding with stop-loss protection gives you structural cost control instead of reactive budget firefighting.

Break the inflation cycle

Mid-to-Large Enterprises (50+ Employees)

Companies with significant headcounts benefit most — pooling risk across employees makes self-funding more predictable and cost-efficient than fixed-premium group insurance.

Best ROI at scale

Companies with Predictable Claims Patterns

If your workforce skews younger, healthier, or lower-risk, you're likely overpaying traditional insurers. Self-funding lets you retain the profit insurers normally keep.

Pay only for actual use

Multi-Market Businesses (HK, MO & SG)

Our 2,000+ panel doctor network spans all three regions — making MixCare the natural fit for employers who need consistent outpatient coverage across markets.

Seamless cross-border coverage

Employers with Tiered Workforce Structures

Companies with different employee grades — executives, management, frontline — can configure distinct benefit tiers for each group without juggling multiple insurance contracts.

One platform, multiple tiers

Growing Startups & Scale-Ups

Compete for talent with enterprise-grade outpatient benefits without the overhead. MixCare's self-service setup goes live in days and scales automatically as your headcount grows.

Live in under 5 days

Getting Started

How to Adopt Self-Funded Outpatient?

From first conversation to fully live — MixCare gets your outpatient scheme up and running in as little as 5 days.

Step01

Current Benefit Plan Assessment

1–2 days

You can talk to your insurance broker, employee benefit consultant, or MixCare to review your current outpatient spend, headcount, workforce distribution, and benefit philosophy to design a self-funded scheme that fits your organisation.

Step02

Benefit Plan Setup

1–2 days

We configure your benefit plan, coverage limits, stop-loss thresholds, co-pay rules, and eligible categories — tailored to each employee group with full flexibility.

Step03

Employee Enrolment

1–2 days

The employer provides an employee list. Once uploaded to the system or connected via HR system API, employees automatically receive a digital medical card and a link to register and download the mobile app. Employees can start using their benefits after setting their password.

Step04

Go Live & Ongoing Optimisation

Continuous

Your scheme can be monitored in real time from launch. MixCare's AI flags anomalies instantly, and our team reviews quarterly reports with you to continuously optimise spend and coverage.

See it in action — Get a Demo

Discover how MixCare's self-funded outpatient platform can reduce your medical costs and delight your employees.