Control Healthcare Costs Without Compromising Care
TRANSPERRA delivers member-first navigation, real-time transparency technology, and pharmacy cost control — all seamlessly integrated into your health plan or TPA system.
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The Problem
Employers are struggling under the weight of rising healthcare costs. Brokers and TPAs are being asked to do more with fewer resources. Employees are confused, disengaged, and delaying care due to cost.
Traditional models aren’t solving the right problems.
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- Reduce the frequency & severity of medical claims
- Care costs can lead to some people delaying needed treatment
- Prescription drugs costs prevents some patients from filling prescriptions
- Out-of-pocket cost of a prescription can result in higher mortality among Medicare patients
Reduce the frequency & severity of medical claims
- Hospitals typically mark up the cost of common procedures by an average of 300%
- Average markups for imaging are estimated at approximately 500%
- The cost of an ER visit can be marked up by 300% compared to similar services in outpatient settings
ENLIGHTEN
Care costs can lead some to put off needed treatment
- Avoiding Care Due to Cost: About 38% of Americans reported delaying or skipping medical care in 2022 due to high costs. (Source)
- Financial Hardship: Medical expenses drive over 60% of personal bankruptcies in the U.S. (Source)
- Increased Severity & Costs: Patients who delay care often face higher costs later, with untreated conditions leading to more severe health issues and expensive emergency interventions. (Source)
ENLIGHTEN
Prescription drugs costs prevents some patients from filling prescriptions
- Medication Nonadherence: About 1 in 4 Americans (24%) say they or a family member have skipped doses or not filled a prescription due to cost. (Source)
- Chronic Disease Impact: Nonadherence to medications for chronic conditions (e.g., diabetes, hypertension) leads to $300 billion in avoidable healthcare costs annually. (Source)
- Cost vs. Compliance: A $10 increase in prescription co-pays results in a 33% drop in adherence among patients with chronic illnesses. (Source)
ENLIGHTEN
Out-of-pocket cost of a prescription can result in higher mortality among Medicare patients
- Higher Mortality Rates: Medicare patients with high out-of-pocket drug costs are 23% more likely to die within a year than those with affordable access. (Source)
- Coverage Gaps & Risk: The Medicare “donut hole” leads to 14% of seniors stopping essential medications, increasing hospitalizations and complications. (Source)
- Financial Burden & Health Outcomes: Seniors facing high prescription costs are 50% more likely to cut back on food or other essentials, further worsening health risks. (Source)
The healthcare system isn’t broken
It was built to confuse – and it’s doing its job.
The healthcare system profits from complexity and confusion. Pricing is hidden. Quality is inconsistent. Employees get lost in a maze of providers, bills, and claims.
Post ACA
Apple
Since the ACA passed, the S&P 500 Healthcare Index has risen 186%, outpacing the S&P 500 (141%) and Dow Jones (139%).
Misaligned Incentives
Problem: Shareholders over Employers, Clients, and Employees.
| 2010 | 2023 | |
| Anthem | $51 | $520 |
| Cigna | $31 | $272 |
| CVS/Aetna | $27 | $98 |
| United | $32 | $500 |
WITH TRANSPERRA
You Are The Hero – We Provide The Tools
As a broker or TPA, you’re already the trusted advisor. With TRANSPERRA, you gain powerful navigation, transparency, and advocacy tools that help your clients lower costs, improve outcomes, and reduce headaches. You don’t have to do this alone — we partner with you every step of the way.
OUR SOLUTION
Transperra’s Strategic Advantage
You don’t need a new network. You need a new model. Transperra supports employers by enhancing their competitive position, reducing healthcare spending, and improving the lives of their employees and their families.
Real-time navigation and care coordination
White label user friendly app with option to integrate Transperra transparency price solution.
Transparency tools that surface actionable data
Transparency tools built by healthcare experts to obtain the right information at the right time.
Drug advocacy, international sourcing, and PBM services
Leveraging Transperra data, we support TPAs, Utilization Review and other plan partners identify quality providers with reasonable prices generating plan and member savings.
Direct contracting, cost waivers, and benefit alignment
One Platform- One Place- One size does not fit all- A fully integrated solutions hub for bolt on TPA back-office solutions and value add offerings without all the costs and hassle.
Control the full cost spectrum without increasing admin burden
Data-driven solutions that empower TPAs and plan sponsors to proactively manage claims expenses, reduce waste, and optimize cost efficiency without compromising care quality.
Explore Transperra’s solutions
A unified platform that streamlines communication between TPAs, utilization review teams, and direct primary care providers, ensuring HIPAA-compliant data sharing for better decision-making and improved patient outcomes.
LET'S WORK TOGETHER
FREE CONSULTATION
Take the next step and find out how we can help you achieve more healthcare cost savings!
THE PLAN
A Simple, Proven Plan to Win with Transperra
- Step 1: Integrate TRANSPERRA into your broker or TPA offering
- Step 2: Members use our app and concierge for guidance and savings
- Step 3: We coordinate care, manage pharmacy costs, and negotiate claims
- Step 4: You deliver measurable savings and a better employee experience
TPA CareSync Console
Dedicated Resource for Assistance
- Members easily engage with nurses, navigators, and plan manager in a HIPAA compliant platform
- Seamless integration with your service providers
Where would you like to begin?
New
Active
A PET SCAN COST COMPARISON
Jordan and Pat both need a PET Scan
- Jordan: Uses a traditional plan.
- Pat: Chooses to use TRANSPERRA’s suggested facility.
Pays $4,300
Jordan’s Experience
Traditional Plan
- Hospital Visit: Jack needs a PET scan and goes to a standard hospital.
- Cost of PET Scan: $8,500 for the scan and associated medical fees.
- Jordan’s Deductible: He pays the first $3,000 out-of-pocket.
- Max Out-of-Pocket: After deductible, they still have to pay additional coinsurance of 20% of the remaining bill. ($1,100)
- Prescription Costs: Jack’s prescribed medication post-scan costs $200.
- Total Jordan Pays: $4,300
Pays $0
Pat’s Experience
With Transperra
- Hospital Visit: Pat needs a PET scan and chooses to go to a TRANSPERRA-suggested facility.
- Cost of PET Scan: Same $8,500 scan and medical fees.
- TRANSPERRA’s Impact: TRANSPERRA waives all out-of-pocket costs for her scan through its voluntary program.
- Prescription Costs: TRANSPERRA’s Rx Advocacy eliminates the $200 prescription cost.
- Total Pat Pays: $0—everything is waived through TRANSPERRA.
*PET Scan: A positron emission tomography (PET) scan is an imaging test that produces images of your organs and tissues at work. **Plans are subject to IRS regulations for High-Deductible Health Plans. Coverage and pricing depend on eligibility and specific services. Most medically necessary treatments are available at $0 out-of-pocket, but some may require prior authorization, have limitations, or incur additional costs. Controlled substances are excluded from home delivery. For a full review of your care options, consult your Navigator.
Conclusion
Jordan pays thousands for his PET scan, while Pat gets the same care at zero cost thanks to TRANSPERRA. This comparison highlights how engaging with TRANSPERRA removes financial barriers, ensuring affordable, high-quality healthcare through a voluntary, highly incentivized program. With TRANSPERRA, cost shouldn’t be a roadblock to care – it should be an opportunity for smarter, stress-free healthcare choices.
CLIENT SUCCESS STORIES
Impactful Discounts!
74% Medical Claims
40% RX Claims
$5,150,000
Removed Laser Risk (2024)
Case Study
“As an executive of an expense management business, I have forever been frustrated with the cost of healthcare and the quality of the services. Transperra have been a breath of fresh air with their creative solutions in a space that is shamefully bereft of decent options for most businesses. Transperra has been a great move for our company and more importantly, our employees.”
Matt
President
HR professionals often face challenges managing vendor relationships and employee benefits. Our flexible platform streamlines this by offering customizable, vetted network partners and digital solutions for an exceptional employee experience.
WHAT OUR CLIENTS SAY
Customer Reviews
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