So we started Flume Health thinking we’d create a better TPA.īut over the past year, we’ve realized that what advisors and employers need isn’t just a better TPA.
We found over and over that these TPA often fail at the basics of administering a plan: paying claims on time, answering the phones reliably, integrating with partners. Their benefits advisors, therefore, are expected to be the experts and bring more sustainable solutions to the table. As benefits fall members have more financial responsibility, with no way to estimate the costs - most will avoid or delay care out of fearĮmployers have tried to break out of this cycle through self-funding, but they’ve found themselves in what amounts to the “Wild West” of healthcare, forced to manage all the moving parts in a health plan with outdated tools and little to no expertise.Without transparency or data, employers aren’t able to take action against rising healthcare costs - they’re forced to decrease benefits instead.Providers face an unreasonably high cost of doing business with incredible billing complexity - often suing their own patients to collect deductibles.Instead of helping people make smart decisions, their poor design results in pain for every member of the healthcare ecosystem:
We started Flume Health because traditional carrier-run insurance plans aren’t good stewards of people’s health or employer’s budgets.
0 kommentar(er)
