Right model. Right task.
For clinical-grade AI.
A tiered architecture with Claude Opus for reasoning and Gemini Flash for volume delivers clinical-grade AI at a fraction of the cost — from clinical documentation and prior-auth automation to drug-interaction checking and care-navigation agents.
Claude Opus 4.8
Frontier reasoning
$5 / $25 per 1M tokens
Gemini 3.5 Flash
Fast, native multimodal
$1.50 / $9 per 1M tokens
Gemini 3.1 Flash-Lite
High-volume routing
$0.25 / $1.50 per 1M tokens
AI-Assisted Development
Your engineers don't need frontier intelligence for every FHIR wrapper.
70% of clinical platform development is routine scaffolding — CRUD endpoints, form UIs, test harnesses, and API wrappers. Route that volume to Flash and reserve Opus for the difficult 30%: clinical NLP pipelines, HIPAA compliance logic, and HL7/FHIR integration architecture.
Comparison Baseline
Team Configuration
Tiered Cost
$2.44K
over 13 sprints · 10 developers
All-Frontier / Sprint
$292.50
Tiered / Sprint
$187.50
Task Board — 20 tasks
Hover for routing rationale
Total Cost Comparison (13 sprints)
Tiered vs All-Frontier — 13 sprints
$1.36K
36% reduction · Opus retained for every complex task
In-App Clinical Assistant
Clinical accuracy matters on the hard questions. But appointment checks don't need a PhD.
Select a question
Select a question above to see the model ladder
Monthly Query Volume
Adjust for your health system's traffic
Monthly Cost Comparison
All-Frontier versus tiered routing at the selected query volume
Annual Savings vs All-Frontier
$1.6M/yr
Tiered routing mix
“Patients cannot tell the difference on appointment checks and refill requests — pay frontier rates only when clinical accuracy is a patient safety issue.”
Clinical Document Analysis
Lab reports, radiology findings, prior-auth documents — upload and ask “what changed?” Three pipelines, ranked by speed and clinical accuracy.
Clinical Document (select to demo)
Key Findings — Comprehensive Metabolic Panel
| Item | Status | Trend |
|---|---|---|
| Glucose (fasting) | 112 mg/dL (H) | ↑ from 98 |
| HbA1c | 6.1% (borderline) | ↑ from 5.7% |
| Creatinine | 1.1 mg/dL (normal) | → stable |
| ALT | 42 U/L (H) | ↑ from 28 |
| eGFR | 82 mL/min (mild ↓) | ↓ from 90 |
Pipeline Race — 3 Lanes
Extend · Scenario 4
Nightly Care Coordination Agent
Reviews 25,000patient charts nightly — checking care gaps, medication adherence, overdue screenings, and lab trends. The clinical triage plan and compliance sign-off need Opus. The 14 data-pull steps don't.
Per-Patient Cost
Both strategies compared
Scale Simulator
Patients reviewed nightly across your care panel.
All-Frontier (Opus)
$7.4M
/yr
Tiered (Recommended)
$3.6M
/yr
Tiered vs All-Frontier (annual)
$3.8M
52% reduction · 25,000 patients × 365 nights
Opus plans and reviews. Flash does the data work. Clinical safety stays on frontier.
14 data-pull steps per patient — lab checks, medication adherence, screening gaps, prior-auth status — are pattern-following retrieval. Routing them to Flash cuts per-patient cost from $0.8100 to $0.3900. At 25,000 patients/night that's $3.8M/yr saved — with Opus still signing off on every clinical recommendation.
Where model economics become business outcomes
Six routing strategies applied to the same PulseAI workload. Cost is calculated from existing token volumes; quality, latency, governance, and value remain inspectable.
Cheapest everywhere is quality-infeasible. Best everywhere wastes spend. Workload-aware routing reaches the efficient frontier; GEAP pushes it further when governance and business value enter the decision.
Lifecycle Summary
Healthcare savings across Build → Run → Extend, at your current slider settings.
Build Savings (one-time)
All-Frontier
$0
Tiered
$0
Run Savings (annual)
All-Frontier
$0
Tiered
$0
Extend Savings (annual)
All-Frontier
$0
Tiered
$0
All-Frontier vs Tiered — By Phase
Total Annual Savings
$0
Interact with the scenarios above to see your savings