Self-funded health plans are a proven solution to controlling healthcare costs.
Instead of paying an insurance carrier, Memberly matches employers with a Third Party Administrator, known as a TPA. The TPA manages the health plan with the objective of conserving the employer’s claims funds and returning any unspent claims reserves. All parts of the self-funded plan are seamlessly managed by the TPA:
With a self-funded plan, hospital and facility bills are paid based on a percentage of Medicare using a re-pricing system known as Reference Based Pricing, or RBP. A Memberly TPA will pay hospital bills based on 150% of Medicare which has a 98% initial acceptance rate.