OUR WORK
Our Certification Process
A mark you can trust: proof that a healthcare product, procedure, or service improve health, lower total cost, and help fix the U.S. system.
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Proof of value
Healthcare is crowded with promises. Buyers struggle to tell which solutions truly make people healthier versus those which simply add cost or complexity.
Ten Ten Ten Certification separates signal from noise. We verify, with transparent criteria and independent review, that a solution delivers measurable health impact, net savings, and system‑level improvements. If it moves the nation toward Top Ten outcomes and Ten Percent of GDP, it earns the mark.
What we certify
Real-world healthcare solutions including
- Clinical procedures
- Digital tools
- Drugs
- Benefit designs
- Operational workflows
- Payment models
- Analytics platforms
- Navigation/care coordination services
- Employer programs
- Devices/diagnostics
- Community-based interventions
Three measurement pillars
Health outcomes
Does it measurably improve patient health—recovery, function, quality of life—or prevent avoidable harm and disease progression? Are effects durable?
Net financial impact
Does the solution reduce total cost of care after fees and implementation? Who pays, who benefits, and is the revenue model aligned with savings and outcomes?
Equity
Solutions must ensure prompt, legally compliant access for the intended population or defined subgroup, tracked through wait times, panel availability, NPS/CES, grievances, and completion rates.
Equity is built in. We require stratified results (race/ethnicity, income, geography, disability) and reward documented gap-closing; significant inequities can cap certification level.
What counts as proof
We welcome rigorous evidence, including:
- De‑identified multi‑payer claims and EMR data
- Pre/post outcomes with appropriate risk adjustment
- Controlled evaluations (pragmatic trials, matched cohorts)
- External benchmarks and replication by independent partners
- Clear discussion of biases, limitations
Bottom line: show us the net effect—better health and lower spend, with methods strong enough to reproduce.
Apply if
Eligibility & scope
Vendors and service organizations serving employers, plans, provider groups, or public purchasers. Policymakers and legislators may also apply with respect to certain pieces of legislation or administrative policies.
Single product, bundled service, or end-to-end program or policy.
In-market (≥ 6 months live) with outcomes and cost data. Pilot or preliminary evidence, pre-market or early-to-market, will be considered for provisional certification. Conversion to full certification will be based on real-world evidence.
How certification works
Week 0
Initial inquiry
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Scoping
Align on data and methods; execute NDA and, if needed, BAA
Week 1
Weeks 1-2
Upload documentation via the secure portal.
Methods review, references, and data spot-checking.
Weeks 2-3
Week 4
Decision. Certification level, badge, and directory listing awarded
Ten Ten Ten Certification Process Document
Certification levels
Exemplary
Robust data that demonstrates a positive cost-value curve for the US health system.
Validated
Robust multi-site results meet pillar thresholds; independent audit successfully completed.
Provisional
Shows promising early evidence; includes a transparent plan to address gaps within 12 months.
Why It Matters (for Each Stakeholder)
Employers & purchasers
Cut through sales claims. Buy what’s proven to improve health and lower total costs.
Health systems & clinicians
Adopt tools that reduce low‑value care and support better outcomes without adding administrative burden.
Policymakers & funders
Prioritize models with a rigorous evaluation methodology, clear savings and outcome gains, and a credible path to scale.
Innovators & vendors
Earn a trusted, third‑party mark to speed procurement and differentiate from competitors.
Health plans
Align benefits, plan design and your vendor with certified solutions to improve member health while lowering costs.