Marpai Health
About Marpai Health
Marpai Health utilizes deep learning algorithms to administer self-funded health plans, optimizing claims processing and care management to enhance health outcomes while significantly reducing costs for employers. By leveraging a value-based care network and proactive member services, Marpai enables small employers to achieve savings of 40% or more compared to traditional fully insured plans.
<problem> Traditional fully-insured health plans often lead to high costs and limited flexibility for employers, particularly small businesses, while employees may not always receive proactive, personalized care. Gaps in care, lack of transparency in pricing, and inefficient claims processing contribute to increased healthcare expenditures and suboptimal health outcomes. </problem> <solution> Marpai Health offers self-funded health plans administered through a technology-powered third-party administrator (TPA), designed to reduce costs and improve healthcare outcomes for employers and their employees. By leveraging advanced technology and data analytics, Marpai optimizes claims processing, provides access to top provider networks nationwide, and implements cost containment strategies such as reference-based pricing and out-of-network repricing. The company's value-based care network, Marpai Connect, proactively connects at-risk members with clinical solutions to improve health outcomes and lower costs. Marpai also offers a member-centric pharmacy savings program and a Pharmacy Benefit Management (PBM) solution, MarpaiRx, to further reduce pharmacy costs. </solution> <features> - SMART claims processing that reviews high-cost codes and clinically assesses high-dollar claims - A value-based care network (Marpai Connect) that connects members with proven clinical solutions - myMarpai portal and app for members to access digital health ID cards, view benefits, track spending, find providers, and manage family care - A medical shopping tool that provides price transparency on in-network medical services - In-house care management team providing utilization management, case management, acute care management, and chronic care management - MarpaiRx, an in-house Pharmacy Benefit Management (PBM) solution, offering savings on total pharmacy spend - A member-centric pharmacy savings program that generates savings on specialty and high-cost medications </features> <target_audience> Marpai Health primarily targets small to mid-sized employers seeking cost-effective and customizable health plan solutions, as well as employees who desire proactive, personalized healthcare experiences. </target_audience> <revenue_model> Marpai generates revenue through fees for its self-funded health plan administration services, including claims processing, care management, and access to its provider networks and cost containment programs. </revenue_model>
What does Marpai Health do?
Marpai Health utilizes deep learning algorithms to administer self-funded health plans, optimizing claims processing and care management to enhance health outcomes while significantly reducing costs for employers. By leveraging a value-based care network and proactive member services, Marpai enables small employers to achieve savings of 40% or more compared to traditional fully insured plans.
Where is Marpai Health located?
Marpai Health is based in East New York, United States.
When was Marpai Health founded?
Marpai Health was founded in 2021.
- Location
- East New York, United States
- Founded
- 2021
- Employees
- 69 employees