6/10/2023 0 Comments Flume healthCedric Kovacs-Johnson Founder and CEO An outsider who dreams big and designs from first principles. We believe in something bigger than ourselves, and we are here to change healthcare infrastructure. Wait a minute – is all this “Challenger Health Plan” talk just a re-brand of value-based care? I ask point-blank and get a new buzz phrase in return welcome to the lexicon, “Commercial Advantage. The team at Flume Health is a group of talented, intelligent, and driven people, representing both industry insiders and outsiders. ![]() Its health insurance operations platform works with incumbents, challenger health plans, and third-party administrators of all sizes to go to market faster and service their clients in a way that today's consumers expect. is a privately-held health plan administrator whose model allows self-insured employers and their workforces to unbundle their health. The suite of services to “build-a-plan” includes things like claim processing, payments, enrollment management, digital health point solutions integration, and other API functionality – replacing the traditional TPA with tech and the one-size-fits-all plan with a new opportunity for nichey-ness that can customize coverage for patient populations based on health conditions, location, employer, and so on.Ĭédric talks us through the benefit to his target client – the care provider – who, while taking on more risk anyway, may consider building their own plan to capture more premium dollars and gain better control over the end-to-end patient experience. Flume Health is on a mission to make it easy to stand up and operate modern health plans. How did this go down? Cédric Kovacs-Johnson CEO & Founder of Flume introduces us to his company which offers providers, digital health co’s, brokers, reinsurers, and just about any other healthcare org a tech stack for creating their own hyper-niche, super personalized health plans. Our new electronic health record, Epic, allows you to access information about the care you receive at any St. Flume Health is a digital TPA helping self-insured employers make their health plans more affordable and easier to use. Two of the most notable payer venture funds, Optum Ventures and Cigna Ventures, just headed up a $30 million dollar Series A funding round for Flume Health, a startup that basically builds “challenger” health plans. is a digital third party administrator managing health plans for self-insured employers.
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