Skip to content

Business Model — DEFERRED

Source: 2/18 Meeting (2026-02-18)
Priority: Tier 4 — resolve after MVP validates DME value
Status: Deferred


Job To Be Done

Determine pricing and licensing model for the DME-side product. How does OrthoXpress pay for this? How does it scale nationally?

Pain

  • Pricing model still open — no decision made
  • Must work for capitated relationships where margins are already thin

Value

Clear pricing enables OrthoXpress as paying customer, national licensing to other DME companies, and competitive differentiation for capitated relationships.


Pricing Models Discussed

"We're still figuring. Is it as simple as $50 a patient per indication? Let them pay the freight on that? Because they're paying." — 2/18 Meeting

"$1 a live a month or 0.2%... That's how these doctors get paid out here. They just get big checks to do care." — 2/18 Meeting

Model Description Notes
Per-patient Charge per patient enrolled Simple but unpredictable revenue
PMPM Monthly fee per covered life Common in healthcare, predictable
Per-life contracts Flat fee per covered population Larger contracts, enterprise sales
$1/life/month Specific number floated Baseline reference point

Premium vs. Economy packaging

Discussed but explicitly deferred to post-MVP.

"Packaging is important but the packaging is where you play with it here because at that point you know what works and what doesn't work... you want to get that next phase of users on the system and in order to do that you need to give them, make it easier or make a lesser package that's cheaper." — 2/18 Meeting

"There's a technology adoption curve... across the chasm... early adopters... practical people... laggers... people you're never going to convert." — 2/18 Meeting

National licensing

"Could these get licensed out to DMEs?" / "That's what we're thinking. Yeah, that's what we're thinking." — 2/18 Meeting

"So we got orthos that want to use it in Arizona or Illinois and you know, post-op partners wants to license it or use it in their docs." — 2/18 Meeting

Manufacturer funding potential

Equipment manufacturers might fund or subsidize the platform to increase equipment utilization and reduce returns. Explore after proving the model works.


Why Deferred

"Right now, we're in this MVP phase, minimum viable product. What's the absolute minimum we need to do? We're trying to get to an April 1 launch with some patients that actually do this." — 2/18 Meeting

Pricing decisions without validated product are premature. Build the MVP, prove the 70% call deflection, then negotiate from demonstrated value.