Unbundling the Healthcare Cartel for Mid-Market Employers

The Next Generation of Fiduciary Benefits Consulting

Kalpa Care replaces bloated, fully-insured BUCA (Blue, United, Cigna, Aetna) plans with transparent, unbundled healthcare architectures. We protect your workforce, eliminate hidden PBM spread-pricing, and legally enforce your savings without sacrificing the quality of clinical care.

Why the Status Quo is a Financial Trap

The traditional medical insurance market is breaking mid-market companies under the weight of hospital monopolies and guaranteed year-over-year rate hikes. Legacy brokers are part of the problem, earning higher commissions as your premiums rise. Optiviv steps in as a pure fiduciary consultant. We do not sell insurance products; we engineer clean supply chains. By implementing Direct Primary Care (DPC) frameworks, independent Third Party Administrators (TPAs), and transparent risk management, our ultimate mission is optimizing the biological health of your workforce and the financial longevity of your company.

Our Fiduciary Architecture

Custom Plan Design (SPD)

We rewrite your Summary Plan Description (SPD) to legally protect your plan assets, establishing custom coverage tiers that stop auto-payments for bloated, iatrogenic chargemaster billing.

Independent TPAs

We strip away the cartel's proprietary backend software, integrating independent claims administrators that strictly enforce your custom SPD rules.

Root-Cause Direct Primary Care (Tier 1)

We provide your employees with unlimited, zero-copay access to a curated network of DOs, functional/integrative MDs, and specialized practitioners focused on root-cause medicine rather than algorithmic pill-pushing.

Transparent Specialty Care (SCPs)

We steer high-cost procedures (orthopedics, oncology, imaging) to top-tier, cash-pay surgery centers, offering $0 deductibles to employees who utilize these high-value facilities.

Performance-Based Alignment

We tie our success directly to your bottom line. Through shared-savings structures and flat administrative fees, we only win when your medical trend flatlines.

The Pod Model: Dedicated Execution

Leadership

PayVita's acquisition committee is steered by veteran M&A attorneys, corporate finance experts, and seasoned operational executives.
David Montane portrait

David Montane

Managing Director
David Montane portrait
David Montane
Managing Director

David Montane is the Managing Director of Kalpa Care, leading the transition of mid-market employers away from extractive, fully-insured healthcare models. As a fierce advocate for root-cause medicine and financial transparency, David recognized that the traditional benefits brokerage model was structurally compromised. He founded Optiviv to serve as a pure, independent fiduciary—bootstrapping a zero-debt consulting firm that builds unbundled architectures to seamlessly align employer cost reduction with high-quality, integrative patient care.

Confidential Forensic Audit

Let's Stop the Financial Bleed

All inquiries are routed directly to our consulting team and held in the strictest professional confidence. We are prepared to execute Non-Disclosure Agreements (NDAs) immediately to review your current claims data and identify the hidden waste in your existing benefits spend.

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