Empowered Patient Podcast Bringing Price Certainty and Quality Transparency to Health Insurance Plans with Wally Gomaa SimplePay Health
Wally Gomaa, the Co-Founder of SimplePay Health, provides employer-sponsored health insurance plans that bring price certainty to patients. The plan aligns lower costs with higher quality care, giving the individual transparency about the best providers in their community and out-of-pocket cost, which motivates them to choose higher quality care.
Wally explains, "If you think about what we're doing, we are simplifying the payment model and the plan design model not only to create a better experience. Health insurance is the most complicated industry on the planet. We're using insurance simplification to naturally self-motivate individuals to choose higher-quality providers on their own by getting rid of the complexity of the plan design. Giving the patient member, the plan participant, whatever name we're going to give it, a price out-of-pocket for every covered service before they go."
"We make our model available on a national level in partnership with Aetna and their TPA company Meritain. And partnering with a Fortune four organization of their size and scope allows us to have legs and reach anywhere we want to in the country."
"The result is not only better affordability, but more importantly, we're getting individuals connected with the best providers in their community and extending the quantity and quality of people's lives. We do find ourselves on the mission of being the life preservation company. We want to get people the best care that extends the quality and the quantity of their lives. And we use insurance simplification to be able to get there. "
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