Cost of Care Arca Topos
Specialty care for cancer & organ failure

One company accountable for your most complex, most expensive care.

House Health coordinates the doctors, hospitals, health plans, and pharmacies around members facing cancer and organ failure — and stays accountable from the first concern through long-term care. Built for payers, MSOs, and self-insured employers.

Facing a diagnosis? Start with Cost of Care →
House HealthThe specialty care company for cancer & organ failure
ConcernDiagnosisTreatmentLong-term
The problem

Cancer and organ failure are where the dollars and the risk concentrate.

A small share of members drives an outsized share of spend — and that spend is the hardest to predict, the hardest to manage, and the most fragmented across the system.

A few members, most of the spend

High-complexity cancer and organ failure cases sit at the top of every population's cost curve, yet they're managed with the least coordination.

[HH DATA — % of spend]

Fragmentation costs time

Patients move between specialists, facilities, plans, and pharmacies with handoffs at every step. Weeks lost to diagnosis and treatment carry both clinical and financial cost.

[HH DATA — days to treatment]

No one owns the journey

Everyone touches a piece of the case. No single party is accountable for the whole path — or for what it ultimately costs.

[HH DATA — episode variance]
How House Health works

One accountable partner across the whole journey.

Care for cancer and organ failure runs through phases — and today, a different party owns each one. House Health runs the line end to end, and connects everyone who treats, pays for, and supplies the care along the way.

Concernrisk & symptoms
Diagnosisworkup & staging
Planningtreatment design
Treatmentactive care
Monitoringlong-term
House Health — accountable across every phase
PatientsDoctorsHospitalsHealth plansPharmacies

The model is the differentiator: not a service bolted onto one phase, but a single operator responsible for the entire episode — for the patient and for everyone working the case.

The platform

Built into the moments that decide cost and outcome.

Cost of Care
Patients
Open Cost of Care →

The front door — cost transparency and best-care discovery.

People facing a serious diagnosis arrive looking for what care will cost and where to get it. Cost of Care gives them a credible estimate and a route to better care — and routes the ones who need help into Arca.

Sits at: Concern · Diagnosis

Arca
Patients & Doctors
Explore Arca →

The action layer — navigation and coordination across the journey.

Arca turns concern and confusion into guided next steps: coordination across specialists, plans, and facilities so nothing falls through the cracks. It works alongside the treating physicians, not around them.

Sits at: every phase

Topos
Patients, Doctors & Pharma
Explore Topos →

Clinical-trial access and trial operations.

Topos connects patients and their doctors to the right trials, and gives pharma sponsors and community oncology groups a faster, protocol-grade path to enrollment from a known patient base.

Sits at: Planning · Treatment

Who we serve

Made for the organizations that carry the risk.

Payers & MSOs

  • One accountable partner for your highest-cost, highest-risk cases
  • Episode cost visibility and control across the full course of care
  • Faster, coordinated routing from diagnosis to treatment
  • A clinically led network instead of a fragmented referral chain

Self-insured employers

  • Protection against the catastrophic cancer and organ failure claim
  • A specialty benefit employees actually use when it matters most
  • One vendor accountable for cost, access, and experience
  • Cleaner data on where your specialty spend actually goes

Patients & families. Facing cancer or organ failure? Start with Cost of Care to understand likely costs and find better care, or talk to a navigator through Arca.

Start here

Run a smarter specialty strategy.

Let's talk about what one accountable partner for cancer and organ failure care looks like for your population.

Talk to House Health
For payers, MSOs & self-insured employers

A single operating partner for the care that breaks your budget.

Cancer and organ failure are the cases you can least afford to leave uncoordinated. House Health takes ownership of the whole episode — the network, the navigation, the cost visibility, and the outcome — so you have one party accountable instead of a dozen disconnected vendors.

What one accountable partner changes
  • Lower episode cost
  • Faster time to treatment
  • One party accountable for cost, access & outcome
  • Cleaner data on your specialty spend
For payers · MSOs · self-insured employers
The problem

Today, your specialty dollars leak down a chain.

Cancer spend is handled one of two ways, and both fail. Fee-for-service PPO: everyone bills in isolation and no one owns the episode. Or capitation — where risk is passed down a chain, and at every hop someone takes margin. The pie reaching actual care keeps shrinking, and squeezed, disconnected providers deliver worse care.

Payer / employer premium
$100
Managed-care network takes its cut
$82
IPA capitates the risk down
$66
Med-onc group, now at risk
$52
…what's left reaches the actual care — squeezed, uncoordinated, and worse for the patient.
Illustrative; the exact split varies by market. The pattern doesn't — every middleman's margin comes out of care.
The alternative

Or stop fragmenting — and integrate.

Partner with House Health and you bring the whole specialty team together under one accountable operator, instead of sub-capitating the risk into ever-smaller, disconnected pieces.

Surgical oncology
Medical oncology
Community hospitals
Radiation oncology
Navigation
House Health — one accountable operator for the whole episode

No sub-capitation chain. No shrinking pie. One partner owns cost, access, and outcome — and the dollars go to coordinated care, not to each middleman's margin.

What integration delivers

Six things move at once.

Better outcomes

Coordinated, evidence-based specialty care in place of a fragmented referral chain.

Lower total cost of care

Site-of-care decisions and one owner of the episode take avoidable cost out — and keep margin in care, not middlemen.

Higher patient satisfaction

A navigator and one accountable team, instead of a maze of disconnected providers.

Higher CMS Star ratings

Better quality and member experience lift Star ratings — which drive your value-based revenue.

Higher reimbursements

Stronger ratings and documented outcomes translate directly into better value-based reimbursement.

More members

A real, integrated cancer program attracts and retains members — a service line that sets the plan apart.

What we take on

The work we own so you don't have to assemble it.

House Health operates the full specialty episode. Each piece is a capability you'd otherwise source, integrate, and manage across separate vendors.

01Clinically led network

A curated specialty network and care model — not a directory — with tumor-board-grade decision-making behind it.

02Episode coordination

Active management of the case across specialists, facilities, and plans through Arca, so handoffs don't become delays.

03Cost visibility

Transparency into likely and actual episode cost through Cost of Care, surfaced for the member and for you.

04Trial access

The right clinical trials brought into the community through Topos, expanding options without adding chaos.

05Site-of-care decisions

Steering infusions and procedures to the appropriate setting, where most of the avoidable cost actually lives.

06Reporting that holds up

Clear data on cost, access, and outcomes for the episodes you're most exposed to — built for diligence.

Want the operating detail?

See how the journey model works phase by phase, and where each tool plugs in.

How the model works

Let's model the impact on your population.

Bring us your highest-cost specialty episodes and we'll walk through what one accountable partner changes.

Request a partnership conversation
How House Health works

We run the whole journey. That's the difference.

Most companies own one slice of cancer or organ failure care — a network, a navigator, a cost tool. House Health owns the line that connects them, and stays accountable from the first concern through long-term care.

The journey, owned end to end
ConcernDiagnosisPlanningTreatmentMonitoring
House Health stays accountable across every phase.
The principle

Today, every phase has a different owner. We own the line.

A patient with cancer or organ failure moves through a sequence of phases. At each one, a different specialist, facility, plan, or pharmacy takes over — and the case is handed off, re-explained, and re-priced. House Health stays accountable across all of it.

Concernrisk & symptoms
Diagnosisworkup & staging
Planningtreatment design
Treatmentactive care
Monitoringlong-term
House Health — accountable across every phase
PatientsDoctorsHospitalsHealth plansPharmacies
Phase by phase

What House Health does at each step.

01

Concern

Risk & symptoms

What happens

A person notices something wrong, or is flagged as high-risk. The first questions are what's happening, what it will cost, and where to go. Most of them are alone with it.

What House Health does

Meets them at the front door with credible cost transparency and a route to better care — and flags the case early, before cost and complexity compound.

Cost of CarePatientsDoctors
02

Diagnosis

Workup & staging

What happens

Imaging, biopsy, labs, and staging. The decisions that set the entire course of cost and care get made here — often slowly, across disconnected providers.

What House Health does

Speeds and coordinates the workup, gets the case in front of the right specialists fast, and keeps cost visible as the picture comes into focus.

Cost of CareArcaPatientsDoctorsHospitals
03

Planning

Treatment design

What happens

The treatment plan, second opinions, trial eligibility, and site-of-care choices. This is where the largest share of avoidable cost is locked in — for better or worse.

What House Health does

Brings tumor-board-grade decision support, surfaces the right clinical trials through Topos, and steers site-of-care decisions toward the appropriate setting.

ArcaToposDoctorsHospitalsHealth plans
04

Treatment

Active care

What happens

Surgery, infusion, radiation, transplant, drug therapy. Spend peaks, and this is where a coordination failure or a delay does the most damage — clinically and financially.

What House Health does

Coordinates across facilities and pharmacies, manages drug access and trial participation, and keeps the plan on track instead of letting handoffs stall it.

ArcaToposPatientsDoctorsHospitalsPharmacies
05

Monitoring

Long-term

What happens

Surveillance, survivorship, and chronic or post-transplant management. The long tail of cost and risk — where recurrence and complications drive the next expensive episode.

What House Health does

Holds continuity of navigation, watches for recurrence and complications, and keeps cost and care visible long after the acute phase ends.

ArcaPatientsDoctorsHealth plans
Why it matters

One owner, or a dozen handoffs.

Without one owner

  • Each phase managed by a different party with its own incentives
  • The case re-explained and re-priced at every handoff
  • Delays between diagnosis and treatment that no one is responsible for
  • Site-of-care and drug decisions made without cost in view
  • No single party answerable for the total episode

With House Health

  • One operator accountable from first concern through long-term care
  • The case carried forward, not re-started, at every step
  • Coordination that compresses time to treatment
  • Cost visibility built into the decisions that drive it
  • One party answerable for cost, access, and outcome

See the model against your population.

Bring us your highest-cost specialty episodes and we'll walk the journey, phase by phase, with your numbers in front of us.

Talk to House Health
An action layer of House Health
Arca — the operating system for care coordination

A serious diagnosis throws people into a system they don't understand, at the worst possible moment. Arca turns concern and confusion into guided navigation and coordination across the whole journey — for patients and the doctors treating them.

What Arca does
  • Navigate the system
  • Coordinate every handoff
  • Hold continuity across phases
What Arca does

A guide who knows the system, on your side.

Navigate

A real guide who understands diagnosis, treatment, and the path between them — so the next decision is always clear instead of overwhelming.

Coordinate

Active coordination across specialists, facilities, health plans, and pharmacies, so the handoffs that usually cause delays don't.

Hold continuity

One thread that follows the case across every phase, so nothing gets dropped between appointments, providers, or systems.

Who it's for

Built for both sides of the appointment.

Patients & families

  • Someone in your corner who knows what comes next
  • Help finding better care and understanding your options
  • Coordination of the logistics so you can focus on getting well
  • A single point of contact across the whole journey

The care team

  • An extension of the team that handles navigation and logistics
  • Coordination that runs alongside treatment, not around it
  • Fewer dropped handoffs and follow-ups that fall through
  • More of the clinician's time spent on care, not coordination

Where Arca sits in the journey

Cost of Care opens the door; Arca walks people through it — across every phase of care.

How the model works

Turn uncertainty into a next step.

Whether you're facing a diagnosis or supporting a member through one, Arca is how the journey gets guided.

Go to ArcaHealth.ai
Topos · community clinical-trial enablement

Bring the trial to the patient — in the community.

Clinical trials are run at academic centers. Cancer patients are treated almost everywhere else — in community oncology practices that usually can't offer trials at all. Topos is the operating layer that bridges that gap: it lets community practices set up and run trials, gives pharma access to a far broader patient base, and keeps patients close to home. The trial layer of the House Health journey.

The trial access gap
cancer trials recruiting in the U.S. right now
Concentrated in a handful of academic centers — while most patients are treated in the community.
Big new trials landing now
Loading…
Topos trial matcher

Match a patient to a trial.

Stack as many criteria as you need — Topos matches against the full national registry in real time, right here. Every result links to the official study record.

The gap

Trials are concentrated where most patients aren't.

The trials sit inside a small number of academic centers. The patients sit in community practices down the road. Bridging the two is the whole problem — and the whole opportunity.

Trials live at academic centers

The infrastructure to open and run a study — regulatory, coordinators, data systems — has historically only existed at major academic medical centers.

Patients live in the community

The large majority of cancer patients are treated in community oncology practices, close to home, by physicians they already trust.

~85% · Community Oncology Alliance

So almost no one enrolls

Patients would have to leave their oncologist and travel to join a trial — so most never do, and sponsors never reach them.

<1 in 20 adults · ASCO / NCI
How Topos connects

The bridge between community practice, academic trials, and pharma.

Topos sits in the middle and does the work that lets a community practice act as a real trial site — so the study comes to the patient instead of the patient leaving for the study.

Community oncology practicewhere patients are treated
Topossets up & runs the trial
Academic trials & pharmawhere studies originate
Topos — the operating layer that connects all three
PatientsCommunity oncologistsAcademic investigatorsPharma sponsors

Topos provides the regulatory, operational, and data infrastructure a community practice needs to open studies it never could before — and gives sponsors a network of community sites and patients they could never reach through academic centers alone.

What Topos does

One operator, serving every side of the trial.

Community oncology practices

Run trials you couldn't before. Topos stands up the site — IRB and regulatory, protocols, coordinator support, training, and data systems — so you can offer studies, keep patients local, and add a new line of clinical and financial activity.

Pharma sponsors

Reach patients where they actually are. A network of activated community sites and a broad, more representative patient base — faster, more diverse enrollment than academic-only trials can deliver.

Patients & doctors

A trial without leaving your community oncologist. Access to studies that used to mean traveling to an academic center, delivered through the practice you already trust.

How an engagement runs

The operating work behind it.

01Feasibility

Assess which community practices and patient populations fit a protocol — before anyone commits.

02Site setup

Stand up the community practice as a trial site: IRB and regulatory, contracts, systems, and staff training.

03Patient matching

Identify and match eligible patients already in the practice to the right open studies.

04Enrollment & consent

Support the practice through enrollment, consent, and onboarding — without disrupting care.

05Execution & monitoring

Coordinators, protocol adherence, and monitoring to keep the study protocol-grade in a community setting.

06Data & reporting

Clean, sponsor-ready data and the real-world follow-up that keeps trial participation connected to the patient's care.

Where Topos sits in the journey

Topos works at the planning and treatment phases — the trial layer of the full House Health model.

How the model works

Open trials where your patients already are.

Pharma sponsor with a protocol, or a community practice that wants to run trials? Let's talk about activating community sites.

Talk to Topos
Cost of Care · the front door

These prices aren't normal. The system won't show you — we will.

A serious diagnosis comes with a second shock: the bill. Cancer and organ failure care is priced in the dark — the same scan, surgery, or drug can cost wildly different amounts depending on who's billing, and no one tells you which price is yours until it's too late to choose. Cost of Care pulls those numbers into the light, shows you where the same care costs less, and connects you to help. Built by House Health.

Typical cancer episode
$150K+
industry estimates
Patients who deplete savings within 2 years
42%
financial-toxicity research
Hospital charge vs. Medicare
2–4×
for the same care

Built on CMS reference pricing, NCCN-style clinical phases, and real charge data — not numbers pulled from thin air. Estimates are modeled and confidence-framed; a navigator gets you the real number.

Find care
Search the top U.S. cancer centers (real NCI registry data) or providers by specialty, then check any to compare them side by side.
Build a regimen: select any drugs and see the monthly cost across every channel — Medicare ASP, what the wholesalers (Cardinal/McKesson) pay, 340B, PBM/commercial, the hospital chargemaster, GoodRx, Cost Plus, and manufacturer assistance.
Beyond the estimate, here's where to get help — most of it free.

Talk to a navigator

Arca coordinates your whole journey — finding better care, lowering cost, and managing every step.

Go to Arca →

Financial assistance

Manufacturer copay programs, foundation grants, 340B savings, and hospital charity care can cut costs sharply for those who qualify.

Get help applying →

Clinical trials

You may be eligible for a trial that changes your options. Topos connects patients and doctors to the right ones — in the community.

Explore Topos →

Understand your bill

Itemized bills are full of errors and negotiable charges. Know what you actually owe — and dispute what you don't — before you pay.

Review my bill →

Second opinion

For complex cancer and organ failure cases, a second opinion can change the plan, the prognosis, and the cost.

Arrange one →

Legal & employment

Your rights at work, medical leave, insurance appeals, and disability — guidance for the parts of a diagnosis that aren't clinical.

Get guidance →

Caregiver support

The people caring for you carry a load too. Practical and emotional support for families and caregivers.

Support for caregivers →

Understand your diagnosis

Plain-language, guideline-based education for your specific cancer or organ-failure diagnosis — so you can make informed decisions.

Learn more →

For your organization

A payer, MSO, or employer? See how House Health manages these episodes at the population level.

For payers & employers →

Estimates are modeled reference values, grounded in Medicare facility rates and commercial multipliers — not a quote, a bill, or medical or financial advice. Actual costs depend on your specific plan, providers, and clinical course. Licensed live pricing data is a separate integration.

Cost of Care opens the door. Arca walks you through it.

You don't have to figure this out alone. Talk to a navigator and turn this estimate into a plan.

Talk to a navigator
Contact

Let's talk about specialty care for your population.

Whether you're a payer, MSO, or self-insured employer exploring a partnership; a community practice or pharma sponsor interested in Topos; or a patient or family who needs help — reach us directly and we'll route you to the right team.

Reach us
We'll point you to the right team.
Who should reach out

Tell us which fits — we'll get you to the right place.

Payers, MSOs & employers

Partnership conversations about managing cancer and organ failure for your population.

Start a partnership →

Pharma & community practices

Bring a protocol to the community, or set your practice up to run trials, through Topos.

Talk to Topos →

Patients & families

Facing a diagnosis? Start with Cost of Care, or talk to a navigator through Arca.

Start with Cost of Care →

One company, accountable for the whole journey.

Email admin@househealthinc.com or call (310) 256-2537.

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