Why Employers Are Flocking to Hybrid Care

The broken promise of primary care isn't a secret to any HR leader who has watched costs climb while utilization stays flat. The problem isn't access to benefits. The model itself is broken.

Dr. Danish Nagda, co-founder and CEO of Rezilient Health, built a company around that specific diagnosis. Rezilient’s hybrid clinical model integrates virtual and in-person care in a way that most telehealth offerings don't. In their cloud clinics, a medic in the room operates live-streaming diagnostic tools, including otoscopes, endoscopes, and ultrasounds, while a board-certified physician conducts the visit on screen. The same doctor who sees the patient remotely can examine them through that setup, order imaging, and loop in a specialist within hours rather than months.

At Oklahoma State University, this model reduced downstream referrals by 62%, sending specialists only the patients who actually need them and freeing surgeons to spend more time in the operating room.

The business case for employers is direct. One integrated solution replaces a fragmented stack of point solutions, a direct contract with local health systems, and claims that go down the day the agreement is signed. For health systems facing negative margins after Medicaid cuts, Rezilient offers a path to more commercial volume from the community employers they already have relationships with, without the infrastructure to act on them.

Bolt-on implementations produce modest engagement. Employers who build plan design incentives around Rezilient use see the utilization numbers that actually move total cost of care. The technology works. The model is proven. What changes outcomes is whether employers commit to the design that makes engagement inevitable.

Tune into this episode of Margin of Care to hear Dr. Danish Nagda examine the evolving role of virtual and hybrid care in employer health strategies. As the post-pandemic bloom fades from telemedicine, Danish breaks down what the data actually shows about where virtual care creates value, and where it falls short.