The traditional health plan model is optimized for claims processing, not outcomes. Join leadership from Firefly Health and Zus Health for a deep dive into the Clinically-Integrated Health Plan. We explore how merging clinical delivery with longitudinal health data profiles shifts the "locus of control" back to primary care quarterbacks who influence 90% of every medical dollar. Firefly and Zus will demonstrate how to move from transactional coding to proactive population health management. By utilizing RAF scores as a "clinical complexity compass" rather than a billing tool, this model identifies risk early to drive engagement. We will discuss navigating the friction between product and payer logic to establish clinical guardrails that protect workers. It’s time health plans act as clinical partners to ensure patients are truly protected, not just "covered."