12/15/2023 0 Comments Flume health insurance![]() ![]() ![]() I’m absolutely thrilled with the results we’ve brought our clients so far. We also charge a single flat price for our services, swearing off the hidden fees and kickbacks that have become commonplace in our industry. We give benefits advisors and their clients an unprecedented amount of data about their health coverage. Tying all of this together is our absolute commitment to transparency. When members can afford to use their coverage, they’re often able to deal with health issues before they become expensive to treat. In addition to automatically reducing members’ costs through Flume Community™, we encourage each of our clients to pass along savings in the form of lower premiums and deductibles. Providers see their billing cycle reduced, and members are rewarded for making decisions that save the plan money.Īfter all, the best member experience is simply health coverage that members can actually afford to use. In return we give them timely reimbursement and waive any patient collections outside of a copay. For every plan, we identify high-quality providers and invite them to agree to fixed, fair prices for any Flume Health members. We remove barriers to finding affordable, quality care through Flume Community™. We use a suite of tools, including medical management and algorithmic fraud, waste, and abuse detection to systematically remove the waste in the healthcare system, which often ends up being over $5,000 per employee per year. Our tech enabled platform allows this new model to run as smoothly as any carrier plan. So we created a new category of employer-sponsored health coverage that bypasses the traditional insurance model to provide employers with fair pricing, simplicity, and transparency. It’s a different approach to health coverage altogether. 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 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |