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
02:35
Avant Health lowers costs by rethinking the TPA model with AI-driven plan design and administration, giving brokers flexibility and employees and their families an experience that finally feels hyperpersonalized.
Transcript:
What is Avant Health?
So think about the last time a client asked you for flexibility in their health plan. Maybe they wanted to pair direct primary care with the local network or plug in a GLP-1 program without blowing up costs. Most TPAs say yes in theory, but can't deliver in practice. Legacy systems, manual workflows, and one size fits all models make it impossib...
Posted August 21, 2025
01:37
Experience first. Boon-Chapman continues to remain independent from the influence and ownership of carriers or hospital systems giving flexibility to maintain the best interest of clients and members.
Transcript:
What is Boon-Chapman?
Boon-Chapman is a third party administrator with 65 years of experience serving self-funded health plans. I'm 31 years old and we've got clients that are older than I am. We were built by brokers for brokers giving us a unique perspective that combines deep industry knowledge with a flexible client first approach. While we're proud of our legacy, we remain ...
Posted July 21, 2025
02:38
ClaimChoice empowers self-funded employers to cut healthcare costs 20–30% through member advocacy and proactive claims management, helping brokers retain clients and avoid renewal chaos.
Transcript:
What is ClaimChoice Administrators?
If you've ever had a client stuck in a fully insured plan that's no longer working, but too overwhelmed to change, you're not alone. Rising costs, rigid networks and confused members are the norm. ClaimChoice flips that script. We're a third party administrator and Benefits Studio built for brokers who want smarter self-funded plans without chaos. Our appro...
Posted July 1, 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
02:52
Oxbridge Health provides employer-sponsored healthcare with episode benefit plans, ensuring transparent, predictable pricing. Ideal for Texas-based employers with 100+ employees, focusing on cost-effective care.
Transcript:
What is Oxbridge Health?
Oxbridge Health is redefining employer-sponsored healthcare with our episode benefit plans, a health plan that bundles together all the necessary services for a medical situation, from diagnosis to recovery into a single transparent guaranteed price. This eliminates surprise billing and ensures cost predictability for employers and employees a...
Posted May 13, 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
02:49
At Nova Healthcare Administrators, we provide customizable self-funded health plans, leveraging our medical management programs and data-driven insights to meet diverse client needs and help manage health care costs.
Transcript:
What is Nova Healthcare Administrators?
By industry standards, Nova is labeled as a third-party administrator of self-funded employee benefit plans, but over time, we have really evolved into a strategic partner that works with various entities to help them manage risk, and strike the right balance between cost containment and access to meaningful employee benefi...
Posted January 22, 2025
02:18
Discover how Sidecar Health empowers employees to reduce healthcare costs with cost transparency, smart shopping incentives, and flexible care options.
Transcript:
What is Sidecar Health?
Sidecar Health offers employer-sponsored health plans to companies ranging from 51 employees, all the way up to tens of thousands, and we're focused on solving for the two main root causes of rising healthcare costs. The first is that there is no cost transparency. People don't know how much the care they are about to get is going to cost, and the second is that they have no motivation to shop smart. Le...
Posted January 21, 2025
01:51
Health Plans, Inc. is the non-BUCA, non-Private Equity, innovative and fully transparent TPA you have been looking for. We offer stability, innovation, and transparency.
Transcription:
What is Health Plans, Inc.?
Chris, we are the third-party administrator for Harvard Pilgrim. Ultimately, we roll up to the Point32Health Family of Companies. It's important to note that as a TPA, we are non-BUCA and non-private equity, so our nonprofit ownership allows us to focus on the right things.
How is Health Plan, Inc. different?
Well, because we don't have a lot of the traditionally misaligned in...
Posted December 18, 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
02:38
Yuzu Health is a new-age TPA powering innovative health plans. We specialize in anti-BUCAH plan designs, and our full suite of TPA services are optimized for flexibility, speed, and transparency.
Transcription:
What is Yuzu Health?
Yuzu Health is your integrated TPA and technology partner. We make your new ideas work by bringing together the nuts and bolts and showing you the results.
How is Yuzu Health different?
Yuzu Health is built to natively support new styles of health plans and integrated member and employer digital experiences. What do I mean by this? Similar to other TPAs, we ...
Posted October 29, 2023
02:15
Centivo is an innovative health plan for self-funded employers founded on the belief that everyone deserves quality care at a price they can afford.
Transcription:
What is Centivo?
Centivo is a new type of self-funded health plan that reduces health spend by as much as or more than 30% for employers. We often also save employees and their families over 57% on their out-of-pocket medical expenses. We do this by organizing a PCP-centered plan around a network, using a high-value, efficient health system in local markets. These are typically clinically integrated ACOs, delivering more affor...
Posted October 20, 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
02:51
Quizzify Classic: Imagine Jeopardy-meets-Health Education Quizzify2Go: (1) A "self-navigation" tool covering 196 doctor visits (2) RBP-meets-ER visits/emergency admissions. Don't negotiate. Dictate!
Transcription:
What is Quizzify?
Well, Chris, if you can imagine, Jeopardy meets health education meets Comedy Central. That's what we're all about. We teach employees things about healthcare they had no idea about, and yet they can apply right away. This is a perfect example. Cavities, filling cavities is the number one procedure in the United States, yet it turns out most don't have to be ...
Posted September 11, 2023
02:12
The United Care Consortium is an employer health plan. We are made of industry-leading best practices, and help brokers save their clients 20-30% on their health cost using non-disruptive strategies.
Transcription:
What is United Care Consortium?
The United Care Consortium is an employer health plan comprised of industry best practices to combat cost trends, unreasonable treatment costs for members and long-term rate volatility. Collectively, the strategies create a first of its kind health plan available to employers throughout the country that is compliant and non-disruptive to impleme...
Posted September 11, 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
02:48
Vitori solves the challenges of outdated employee health plans with remarkable member support, 30% savings, network and open access plans, and an unmatched Claims Savings Guarantee.
Transcription:
What is Vitori Health?
Vitori is a modern health plan that solves the challenges of outdated employee health insurance and high-friction, reference-based pricing plans with significant savings, remarkable member experience, network and open access plans, and an unmatched $1 million savings guarantee. Our seamless all-inclusive administration combines medical claims administration, pharmacy bene...
Posted April 10, 2023
02:53
WellNet fixes the unaffordable healthcare mess – for companies & their people – by combating vested carrier interests, building smarter self-funded solutions & optimizing the employee experience.
Transcription:
What is WellNet Healthcare?
WellNet is an independent, third-party administrator that builds and optimizes level-funded and traditionally self-funded medical and prescription plans. WellNet is the TPA of choice for employers looking for an alternative strategy to manage their medical and prescription costs, while also providing a better overall experience for their employe...
Posted December 20, 2022
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
02:38
We provide Level funding on the Cigna PPO with 100% claims surplus return and the ability to carveout PBM down to 25 enrolled employees. We also have no cap on the case size we can service.
Transcription:
What is ACS Benefit Services?
Well, Chris, we are a top-shelf, old-fashioned TPA for healthcare services. We pride ourselves on doing things the right way. We provide the Cigna PPO on a national level and we're headquartered in Winston-Salem, North Carolina.
How is ACS Benefit Services different?
Well, really, it's all about transparency and control. A few examples on our level funded...
Posted September 22, 2022
02:48
Catalyst Benefits is the pre-packaged ‘unbundled’ self-funded health plan solution for small to mid-size employer groups! By bringing Transparency, Proactiveness and Customization to smaller groups, we are empowering advisors around the country to further differentiate themselves from the competition. Catalyst has $0 deductibles for members that utilize high quality providers and availability to get high cost, specialty medications for free! We build it, so you can sell it easier!
Transcription:
What is Catalyst Benefits?
Catalyst Benefits is a reconstructed and pre-packaged 'unbundled' ...
Posted August 16, 2022
02:35
Apta Health is an award-winning, independently validated, care coordination program designed especially for mid-market employers. The program averages -2.4% medical trend and -7% pharmacy trend vs. industry averages. As the first program of its kind, Apta Health offers guidance, empathy, and cost savings to members & employers. With care coordination driving member engagement, groups see greater savings and program utilization. In a world of rising healthcare costs, Apta Health is the solution!
Transcription:
What is Apta Health?
Apta Health is a managed high-performance program that...
Posted August 15, 2022
02:25
Evolution Healthcare transitions fully insured and level funded mid market employer groups into a true, partially self-funded arrangement that looks and feels like a fully insured plan.
Transcription:
What is Evolution Healthcare?
Evolution Healthcare specializes in moving fully-insured and level-funded employers into a partially self-funded solution with an easy-to-understand bundle approach. We're built top down to look and feel fully-insured, while still offering all the benefits that come from a self-funded plan, such as improved cashflow, access to data, and ability to control plan ...
Posted August 12, 2022
02:30
We are a concierge service that works with self-insured employer groups to help direct their members to our direct contracted providers. We keep costs down for employees as well as the employer by working with high-quality, transparent partners.
Transcription:
What is Connect Benefit?
Connect Benefit is a concierge service for self-insured employer groups. And we help reduce healthcare costs by working with their employees to navigate their care to our direct contracted providers. These providers provide high-quality care at a transparent and reasonable cost. When a member needs a specia...
Posted August 10, 2022
02:52
Discover Allied's innovative plans that pay you back when your group has a healthy year. Let's discuss how your benefit plan can serve you better.
Transcription:
What is Allied National?
So, Allied National is the small group benefit expert. Allied National is one of the nation's oldest, most experienced third party administrators. We provide a variety of health insurance industry-related services for companies all across the country.
How is Allied National different?
What makes Allied National unique is that in addition to providing third party administrative services for other compan...
Posted August 9, 2022
02:36
We're the largest independent TPA headquartered in Texas with over 36 years of experience administering health plans for self-funded employer groups. We pay over $1 billion a year in claims and manage hundreds of clients from 2 to 5,000 lives.
Transcription:
What is Assured Benefits Administrators?
Assured Benefits Administrators is a TPA with over 35 years of experience in managing health plans for self-funded employers. We've got over a hundred thousand members and we are the largest independent TPA with headquarters in Texas. And we expand to not just the Texas region but across the c...
Posted August 6, 2022
