Independent public-interest evaluations of how systems respect dignity and support agency.
HXR Documentation
Using HXR to Make Better Choices
How HXR Evaluations can help people recognize good experiences, understand tradeoffs and make better-informed choices about products, services and institutions.
HXR’s main analytical artifacts are Evaluations, supported by Cases and other evidence. They examine what works well, what creates difficulty, for whom, and under which conditions. An Evaluation can help a reader recognize a practice that protects dignity and agency while showing the limits of what is known.
People can use this evidence alongside price, availability, personal needs and other relevant information. Where comparison is supported, HXR aims to make good experiences easier to find and meaningful differences easier to understand.
Price Is Only One Cost
A lower price may hide hours of waiting, repeated calls, difficult correction, poor accessibility, unclear information, or a lack of meaningful remedy.
Price shows what you pay in money. An Evaluation can also examine the time, effort, attention and control an experience requires, and whether it provides dignified treatment.
See a simple comparison: The Cheapest Option Isn't Always the Lowest Cost.
What People Could Compare
Hospitals and Medical Offices
Waiting burden, referral access, communication, billing clarity, record continuity, respect, accessibility, error correction, and remedy.
Insurance Plans
Care access, referral speed, authorization burden, denial clarity, appeal quality, network accuracy, continuity, and the amount of work shifted onto patients and caregivers.
Schools
Curriculum value, student agency, administrative friction, accessibility, support, instructor and staff treatment, degree usefulness, and correction when the institution makes an error.
Employers
Worker agency, policy clarity, internal tools, management respect, scheduling, accommodations, support, reporting paths, and whether internal metrics reward humane outcomes.
Products and Services
Learning burden, setup time, support, lock-in, failure recovery, accessibility, repairability, cancellation, and total human cost beyond purchase price.
Cities
Travel time, walkability, shade, sidewalks, service access, permitting, public participation, stores and care access, traffic efficiency, safety, and the performance of institutions operating within the city.
Laws, Agencies, Courts, Prisons, and Public Programs
Comprehension, practical access, delay, dignity, contestability, proportional burden, records, due process, remedy, and effects across different populations.
Decision Agency
Information supports agency only when people can understand it, trust it, compare it, and act on it. HXR calls this decision agency.
Why Institutions Would Care
A well-supported Evaluation can make an organization’s good work visible and explain why it matters to people choosing a service, workplace or product. That recognition can strengthen earned trust and give teams a reason to preserve effective practices. Any effect on customer choice, recruitment, retention or revenue must be demonstrated rather than assumed.
Organizations may hire consultants to understand the published target and improve their systems. They may not buy influence over HXR's measurements, methodology, publication decisions, evidence, or rating.
Future Scoring and the Evidence Behind It
Blue Score methods remain under development; HXR does not yet claim an operational or validated universal score. Evaluations and their evidence can be useful before scoring is ready. Any future score or grade must explain:
- what was measured
- which evidence supports it
- how current the evidence is
- who experienced the burden or benefit
- confidence and uncertainty
- institutional response
- verified changes
- category strengths and weaknesses
A future score could provide a quick signal. The underlying Evaluation, evidence and limitations would remain necessary to interpret it.