Medxoom - One App to Connect it All

Medxoom - One App to Connect it All

Episode 25 of the Self-Funded with Spencer Newsletter

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Can one app manage pricing, communications, and payments for health plans? In short, YES! Medxoom, the focus of Episode 82 of the Self-Funded with Spencer Podcast featuring James Walsh, "unifies member identity, pricing, communication and payments into one, easy-to-use app". More details are below!

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Episode 82 Summary:

James is the EVP of Strategy and Growth for MedXoom.

Active in triathlons, Jame jokingly refers to himself as "a back-of-the-pack triathlete", and unfortunately he recently had to pull out of a full Ironman race in Florida about 36 hours prior to it starting because of a lung infection, which was supposed to be his swan song.

James has also performed well over 500+ deep dives, saying it is the most peaceful, yet exhilarating experience simultaneously. He even once found a 1-carat diamond ring during his adventures and has visited many underwater shipwrecks.

On a professional front, MedXoom is a technology platform that has the ability to improve the financial outcomes for both plans and members.

They create a true white-labeled member experience, with clients ranging from TPAs, Health Plans, Brokers, and many other solution providers selling out to employers directly.

Health Plans have nearly an infinite number of combinations of solutions folded together including things like Telehealth, Direct Primary Care, carved-out PBMs, Reference Based Pricing, etc, and Medxoom allows the administrator to bring all of those components together, so the plan member has one place to go.

They also partner with 3rd-party data providers in order to large ingest machine-readable files with pricing data so members can easily search for cost details of care, which helps employers be compliant with the CAA.

Additionally, Medxoom assists with improving the provider payment process, using something called a “Single Payment Credential” or SPC card. This functions as a single-use, virtual credit card loaded with plan dollars allowing for a closed-loop transaction that pays the provider in full.

Best of all, Medxoom’s clients are giving them data that shows on average, using the SPC method of payment, they are realizing a 40% reduction in unit cost versus traditional network arrangements!

YouTube Chapters:

0:00 Triathlons & Skydiving

11:58 James' Career Path

20:30 Intro to Medxoom

31:20 Medxoom Partners

38:53 Solving the Payment Problem

46:07 Who is it for?

55:00 Future of Healthcare

56:50 Closing Thoughts

??Spencer Smith, CSFS?

?? SVP - ParetoHealth || ??? Host - Self-Funded w/ Spencer || ?? “Self-Fund or Die”

1 年

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