Justin Leader

In a thought-provoking discussion, Justin Leader, CEO of BenefitsDNA, dives into the murky waters of third-party administrators (TPAs) and their impact on healthcare costs. He sheds light on hidden fees buried within weekly claims wires, including shared savings and pay and chase fees. Justin emphasizes the pressing need for transparency and fiduciary responsibility among self-funded employers. With references to ongoing legal cases and insights from Health Affairs, he urges listeners to scrutinize TPA contracts for a clearer understanding of their true costs.

Justin Leader, an expert on healthcare cost transparency, discusses the hidden fees lurking in weekly claims wires for self-funded employers. He breaks down the various charges like pay and chase fees and shared savings fees that often go unnoticed. Justin emphasizes the importance of transparency for fiduciary responsibility and challenges plan sponsors face in understanding invoices. The conversation highlights how erroneous billing and lack of oversight can lead to significant financial implications, urging listeners to scrutinize these hidden costs.