As daily health brokers, we got tired of the non-performing health plans in the market. Most talk a good game but can’t execute, so we built it with someone who could execute for our clients.
Don’t let any vendors fool you, as a health broker managing a high performing self-funded medical plan is not only complex but 3-5x times the work of a fully insured plan. The reward for us is if you do it well you are irreplaceable. You can’t prepare a 5-star meal with a cook, you need a 5-Star Chef (brokers this is a metaphor for a TPA). It takes experience, skill, and know how accumulated over years of practice to become a 5-Star Chef.
There are lots of vendors out there who would have you believe that all they need to do is provide you with a list of ingredients and then somehow together you will serve a 5-Star meal. This couldn’t be further from the truth. A “New” health plan means we just started. Can you afford their learning curve?
Some of these vendors have only been cooking for a couple of years.
Some are cooking in someone else’s kitchen because they don’t even own one.
Some use different cooks and chefs and try to cobble them together.
If your client suffers from overpromising and underdelivering than you are at risk. Don’t you have enough to worry about?