02:50
MedWatch cuts medical spend and improves outcomes by managing both clinical and financial risk, helping advisors deliver measurable savings and members receive high-quality, guided care.
Transcript:
What is MedWatch?
At MedWatch, what we do is, you know how employers are sometimes desperate to keep healthcare costs down and employees don't know how to find better care. Stop-loss always wants better insight into large claims, and advisors are in the middle trying to make everyone happy. Well, what we do is manage both clinical and financial risk. We do that with our Triple URAC-accredited...
Posted October 20, 2025
01:53
Parasol Health cuts employer healthcare costs by 20–30% through creative self-funded plan design and concierge support, helping brokers deliver savings without disruption.
Transcript:
What is Parasol Health?
Parasol Health is the front end marketing vehicle and distribution channel for an employee health plan called SPP. SPP was created to both maximize cost containment and optimize member experience. This is done through a third-party administrator partnership as well as creative plan design that yields better than reference-based pricing results. Today we serve over 150,000 employees ...
Posted May 28, 2025
02:33
Apta Cash delivers RBP-level savings without the pain, using cash-pay strategies and high-touch guidance to eliminate member out-of-pocket costs and outperform PPO networks.
Transcript:
What is Apta Health?
Apta Health is the evolution of our Apta Health program. Our Apta Health program was developed to provide guided healthcare to members so that we could help them at the onset of their healthcare journeys. The problem with that is that it is still only as efficient as the PPO networks on which it rests. Many of our clients are demanding more, which is why we developed the Apta Cash Pro...
Posted May 15, 2025
02:45
ClaimDOC is the gold standard reference-based pricing solution for employers looking to adequately protect plan assets, support employees with dedicated Member Advocacy, and save 20-30% year one.
Transcript:
What is ClaimDOC?
Yeah, so ClaimDOC is a reference-based pricing organization. We partner with self-funded clients to emphasize access to provider care. We audit all claims over $2,000, and we're also in the business of building long-term partnerships with our provider partners. So if you look at our footprint by the numbers here, we process claims in all 50 states. We've processed 1...
Posted January 23, 2025
02:51
US Beacon finds ineligible charges in 99% of medical claims we review. Our mission is rooted in a belief that ethical billing practices are essential to fostering trust and delivering quality care.
Transcription:
What is US Beacon?
US Beacon is a medical cost containment company that specializes in reducing medical bills by 30 to 40 percent for in-network, and 70 percent for out-of-network. US Beacon has been reviewing and negotiating bills since 1995. Many plans don't understand they are overpaying for their health care. Premiums don't need to keep increasing to cover the high cost of m...
Posted July 31, 2024
02:01
Alef Health: Pioneering savings in healthcare. Our holistic methods benefit a wide range of partners, cutting costs effectively.
Transcription:
What is Alef Health?
Alef Health is the one-stop cost containment solution in the self-funded insurance space that specializes in reducing expenses without compromising the quality of care that a patient receives. We specialize in out-of-network negotiations, claims integrity, subrogation, overpayment recovery, medical management, and much more. Our out-of-network negotiations team works with out-of-network providers to ensure successful negotiat...
Posted June 25, 2024
02:55
Specialty Care Management is the industry leader in risk mitigation and cost containment of renal dialysis claims. Leveraging a combination of clinical programs and financial strategies.
Transcription:
What is Specialty Care Management?
Yeah, Specialty Care Management is a risk mitigation and cost containment platform specializing within the renal space. We have two core solutions. First, our outpatient dialysis risk mitigation. This is where we can work proactively with groups, which would be groups with no active dialysis, or the groups with members receiving treatment. There is no cos...
Posted May 24, 2024
02:28
Vitori’s Industry-first Vantage Health Plan gives employers a 36-month all-in fixed rate for long-term budget predictability and cash flow consistency with a remarkable member experience.
Transcription:
What is Vitori Vantage?
Vitori's Vantage product is certainly unique in the market. It's a three year level-funded health plan for employers with 350 or more enrolled lives. We even offer a surplus refund opportunity after that time period, so it's kind of simple as that. It's a lock for their premiums for 36 months, that includes all their medical and pharmacy claims. And importantly, th...
Posted April 12, 2024
02:24
aequum protects plan participants against unreasonable out-of-network charges and balance billings by medical providers and unfair collection practices.
Transcription:
What is aequum?
Aequum means, what is fair or just, and our mission is to level the playing field in medical billing, shifting back power to health plans and their participants. Specifically, we provide advocacy services to self-funded health plans and their plan participants, including legal defense of medical billing claims through a partnership with a national law firm. We combine those advocacy services with our propri...
Posted April 5, 2024
02:05
HST is the nation’s largest VDHP vendor focusing on fair reimbursements and creative strategies to reduce medical facility spend by up to 35%
Transcription:
What is HST, A MultiPlan Company?
Thank you. HST is the largest reference-based pricing company in the nation. We call it value-driven health plans. Our unique process focuses on creating fair market pricing and convenience for both employers and employee patients, as well as creating equitable payments to facilities. We are owned by MultiPlan, and we represent over 1.2 million reference-based pricing members. We have a 99% average a...
Posted January 8, 2024
02:45
We improve patient lives through exceptional customer service by knowledgeable staff who truly care. Differentiated by a network replacement option, via upfront agreements and strategic negotiations.
Transcription:
What is Hines?
Thank you so much, Chris, for the opportunity today. Hines started out 36 years ago. Judy Hines founded the organization with the goal of keeping people healthy, ultimately. Since then, in 36 years, we've evolved a little bit. Do everything from predictive analytics on the front end, sit down, build out custom programs around chronic condition management, welln...
Posted October 17, 2023
02:35
We are a TPA, repricer and Stop Loss insurance company all in one offering the only comprehensive RBP solution on the market.
Transcription:
What is Homestead Smart Health Plans?
We are a third-party administrator, a claim repricer, and a stop-loss insurance company all in one.
How is Homestead Smart Health Plans different?
I think five things make us different, and that's the integration of the three components that I mentioned earlier. When there are fewer cracks for things to fall through, fewer things fall through the cracks. Two, I'd say we're a co-fiduciary. Plan sponsors are now...
Posted October 6, 2023
02:22
Imagine360 is a health plan. This integrated health plan includes administration, price protection, and direct contracts. The Imagine360 model helps employers and employees save 10-30% on healthcare.
Transcription:
What is Imagine360?
Imagine360 is a health plan. We are a health plan that includes administration, price protection, and direct contracts. We help brokers and employers bring forth a solution that can help organizations save 15 to 30% on healthcare. That savings also leads to savings for employees. Saving money is great, especially during this tumultuous economic time, but wh...
Posted June 28, 2023
02:39
Reference Based Pricing and Payment Integrity
Transcription:
What is 6 Degrees Health?
Thanks, Chris. 6 Degrees Health is a cost containment company with a mission to help employers and health plans take back control of their medical claim costs. This is accomplished through a combination of clinical review and structured provider payments tied to objective benchmarks like provider costs and Medicare reimbursement. With 6 Degrees' transparency data, employers are realizing that the status quo, traditional networks are binding them to contracts that permit unreasonable provider billing pr...
Posted June 16, 2023
01:49
Payer Compass is one of the healthcare industry’s premier innovators in cost control.
Transcription:
What is Payer Compass?
Hi Chris, thanks for having me. Payer Compass is a cost containment company. It's no surprise to anybody watching this video today that healthcare costs are out of control. That affects our shareholder value. That increases the cost for employees and its the second highest cost for employers. So what we're doing today is unsustainable. Payer Compass answers the call to provide free market solutions to our customers and dramatically reduce the cost of healthcare toda...
Posted November 21, 2022
