Medical bills are reported to be the number-one cause of U.S. bankruptcies. One study has claimed that 62.1% of bankruptcies were caused by medical issues. Another claims that over two million people are adversely affected by their medical expenses.
Reduce the severity and frequency of medical claims
Simply put, we significantly reduce employee and member medical spending.
Like most people, you likely think that healthcare is broken. Well, it's not! Healthcare works precisely as designed, where financial objectives drive decisions. Becoming informed and empowered healthcare consumers through the services of Transperra means saving substantial money and returning the intended purpose of benefits to the people they're supposed to help.
TRANSPERRA simplifies the complexity of navigating health insurance. By leveraging the knowledge and skills of a team with decades of diverse experience, newly available technologies, and a mission to guide, inform and empower healthcare consumers, Transperra delivers lower costs and better outcomes for people across the health insurance spectrum.
Who We Serve
TPAs
For their brokers
Brokers
For their clients
Employers
For their employees
Employees
FOR their families
and so much more
Who Are We
Healthcare Innovation
Medical Management
Pathfinder Navigation
Claims Administration
Additional Services
Providing compassionate concierge service when needed most!
(click the images below to learn more, then click "go to link")
We are not just an app!
We combine technology with white glove concierge support to help members navigate the complexities of the healthcare system. See our success stories to learn why it is essential not to leave uninformed members to their devices.
We are a phone call away!
Why Transperra? It's a friendly handholding approach to new transparency laws
Transparency in Coverage (TiC)
Effective for plan years beginning on or after Jan. 1, 2023, group health plans and health insurance issuers must make an internet-based price comparison tool available to participants, beneficiaries, and enrollees. This requirement comes from the final Transparency in Coverage (TiC Final Rules) issued by the Departments of Labor, Health and Human Services, and the Treasury (Departments) in November 2020.
What is driving your rates?
The Main Cost Drivers
We Educate members on the main cost drivers in a health plan and how to find high-quality, less costly alternatives
Primary Care
Networks
Hospitals
Pharmacy Benefit Manager
Most Primary Care offices lose money. Hospitals own roughly 70% of them. Why would a hospital want to own a doctor that loses money? Simple. They are referral centers that feed members to the hospitals. Estimates show that each Hospital held doctor's office is worth $16,000,000.00 per year in referrals to the Hospital.
Networks provide negotiated discounts with no consideration for quality. Fourty percent network discounts are unsuitable when there is an 1800% markup. What if you shopped for options as an informed consumer?
Hospitals in the United States charge patients as much as 1,800% more than their costs. The markups have resulted in hospital profits skyrocketing by 411% from 1999 to 2017, hitting a record $88 billion.
"The rise in charges coincides with growing hospital mergers and acquisitions by large systems.
Express Scripts reported a Net Income Per Employee of $152,844 in 2022.
Actionable data is used for all we do
Transperra uses myriad data to help educate healthcare consumers. In addition, every Transperra Pathfinder works with the insured helping them determine the highest quality and value available for any procedure. With Transperra, they remove the guesswork and pursue healthcare with absolute certainty, for FREE.
Hospital Chargemasters
Medicare Cost Reports
Facility HCRIS Data
Medicare Facility Ratings
Medicare Rates from MACS
Medicare Facility Ratings
Facility Impact Scores
Medicare MS-DRG Rates
We are here to serve and help you navigate through your healthcare benefits and get the best access to care!
Helping you take care of all your healthcare needs!
Transperra is returning power of informed decisions to consumers
There are no shortages of publications illustrating the amount of profits the major insurance carriers are enjoying. Under the Affordable Care Act (ACA), insurance carriers can not make more than 20 cents on the dollars. Given that, it is incredible the amounts of profit that are being generated. Last year alone the 7 major insurance carriers recorded profits over 35 Billion yet you take increases virtually every year.
In 2019, a study from academic researchers found that 66.5 percent of all bankruptcies were tied to medical issues
Transperra- How we Deploy
Red e app is the ecosystem of our program. Downline communications, updates, notifications, navigation services and so much more.
Patient Navigation Services
Virtual Services
Inpatient Services
Mental Health Services
Outpatient Services
We put our money where our mouth is
We are so confident we can navigate members to substantial savings that we only get paid when we deliver savings.
Who do we help? Everybody!
How do we get paid?
We charge a percentage of the savings that we deliver to your medical plan when a member engages.
How do we determine the percentage?
If the member has already been referred to a facility, we will use the cost at that facility for the benchmark in determining the percent of save.
What if there has been no referral?
Once we determine the highest quality/ highest value facility, we will take an average of the charges for all higher cost facilities within 30 miles of where we direct the patient.