Topics:

Misaligned Incentives
Third Party Administrator (TPA)
Savings As A Service (SAAS) Platform
Provider Reimbursement
Open Network vs. Traditional Network
Referenced Based Pricing
Direct Contracting
Consumer Experience
Concierge Service
Net Promoter Score

 
In this episode, Michael introduces you to Cheryl Kellond, Co-Founder, and CEO of Apostrophe Health – a third party administrator who aims to provide savings as a core service and make the healthcare benefit actually feel like a benefit again. Join us as we discuss how they endeavor to build the health plan that can fix America.
 
Here’s a glance at what we discuss in this episode:

Cheryl’s unique experience with product development and sales in the technology industry and why she transitioned into healthcare by starting Apostrophe Health
How misaligned incentives and lack of cost and quality transparency impacts our healthcare system
Why Apostrophe Health defines themselves as a SAAS model with TPA functionalities
How Apostrophe Health uses an open network combined with a blended payment model to provide greater flexibility and cost savings
How Apostrophe Health unique provider reimbursement approach creates a better experience for both providers and employees and gives Apostrophe leverage to negotiate competitive provider reimbursement rates.
Why providers are not required to be credentialed with Apostrophe and how Apostrophe incorporates quality and site of care into steerage opportunities
How Apostrophe Health’s platform is designed to include best in class point solutions  and which components an employer has the ability to customize
Apostrophe Health proactively provides real-time, actionable data analytics and reporting capabilities accessible to employers and brokers/consultants
What Apostrophe Health does differently to simplify healthcare and create a better consumer experience for employees relative to what they’re getting today
Defining what concierge service means in the Apostrophe Health model and how they build trust with employees
Why the Net Promoter Score (NPS) is impactful and how Apostrophe Health leverages it’s NPS scores to make changes and improvements in its service model
Apostrophe Health’s...

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