High Value TPA
Focused on Outcomes
For the standard administration fee, we provide much more than standard TPA services. Marpai (Mar-pay) proactively keeps members on the best health journey, guides them to high quality in-network providers and affordable medications, and empowers them with tools and information. This is our Marpai Cares commitment – all under the standard administration fee.
“Most TPAs just focus on paying claims. Marpai is organized around the member and brings the advanced technology this sector needs to improve member health and reduce claims costs as a result. AP with a member-centric approach is a real game changer.”
Ed Ligonde, Executive Vice President of the Nielsen Benefits Group
Personal Health GPS
The myMarpai app is a personal health GPS guiding members on the best health journey. They can show a digital health ID card, view benefits, track spendingand deductibles, see claims, find a provider, access telehealth, manage family care and more. New features and MarpaiRx to be added in 2023!
Performance-driven health plan administration
We care for your members with the greatest cost efficiency which cares for your health plan bottom line. We work to reduce excessive, avoidable, overpriced and inappropriate care and mitigate costly conditions. We offer diverse cost containment services, operate cost effectively and generate saving across medical, pharmacy, stop loss and claims processing.
Best in Class TPA Services
We deliver all standard TPA services including access to top provider networks (e.g., Aetna, Cigna), RBP solutions, claims processing, plan design, captive solutions, cost containment, compliance and actionable analytics.
Win on Pharmacy
With MarpaiRx, our pharmacy benefit management program, members receive deep discounts on medications across 60,000 pharmacies nationwide, and employers can save 25%+ on pharmacy spend while also receiving eligible rebates. Our PACCS pharmacy savings program works in conjunction with most PBMs (does not have to be MarpaiRx) to generate up to 75% in savings on specialty drugs. Pharmacy experts work directly with members, so they take the best and most affordable medication journey. Discover more by watching our CEO and pharmacy expert discuss PACCS.
In-house Clinical Care Management
Our seasoned, nurse-led clinical care team reaches out to at-risk members and supports them across the care continuum so they avoid costly mis-steps, excessive care and stay on the best journey. Discover more by watching our CEO and Clinical Care Management leader discuss care management services.
“We feel like we’re partners with Marpai more than we have with any other TPA or carrier we’ve ever had. Truthfully, that is a pretty huge compliment from us.”
Marnie Zimmerman, Healthcare Benefit Consultant at Ward-Kraft, Inc.
Serving members and Employers Nationwide
Marpai is rapidly growing and looking for more forward-thinking employers committed to helping their health plan members live better through better health.