Use our updated search function to find exactly what you want to learn about!
  • Type to search or press enter for full results.
Type to search or press enter for full results.

 

 

Saul

Saul Marquez, Host at Outcomes Rocket Podcast

Transparent and Affordable Medical Cost Sharing

Saturday September 26th 2020

Transparent and Affordable Medical Cost Sharing

 

Expensive health insurance costs have driven many Americans to find other options to secure their health.  The continually rising health insurance premium made it more difficult for financially-challenged people to safeguard theirs and their family’s health. It is no surprise, therefore, that many people are opting for medical cost-sharing.

Healthcare or medical cost-sharing is not a new method. It has long been practiced in certain faith-based organizations across the country. It allows a group of people with the same belief to share their medical bills.

Medical cost-sharing is very different from the traditional health insurance that we know.

 

Medical cost-sharing vs health insurance

In the health insurance system, a large group of people is registered or insured. Health insurances offer contracts and premiums. As a member, you can avail of any health services without worry. But it only gives access to providers affiliated with the insurance. 

Medical cost sharing, on the other hand, does not guarantee payments based on a contract.

Medical Cost-Sharing does not have policies or plan documents the way that insurance does. They are governed by a set of guidelines that all members voluntarily agree to. You don’t have to worry about going to a specific health provider, you can choose to go anywhere you want.

Another clear difference between the two is transparency. Patients are not informed of how much tests and checkups cost as it will all be changed to the insurance.

Medical cost sharing, on the other hand. is open. Patients and their families will know exactly how much each service cost.

Challenging health insurance

Sedera is a nonprofit medical cost sharing community. It was created to offer an innovative non-insurance approach to managing large health care costs and to provide an alternative to this reality.

Jamie Lagarde, CEO at Sedera Health explained that the company was formed “to provide a better alternative and provide better outcomes for people, especially during these challenging times.”

He explained, “COVID-19 has highlighted the fractures in our current healthcare system, and we need to remove those unnecessary barriers to care. And we’re simplifying the process for everyone who wants to be a part of it.”

Jamie wants to make a difference in the country. He knows we can do better as a country, and he and his team at Sedera are making that happen.

 

How Sedera works

According to Jamie, one of Sedera’s core beliefs is “everyone needs access to health care.” Health insurance is not the only way to pay for it.

“With Sedera, what people are doing is they’re literally setting aside funds and an account held at an FDIC-insured bank. And those funds are being set aside to share for the needs of the community that come in every week. And funds from other community members go directly to reimburse those members for their medical needs.”

“Members are sharing directly with other members. This type of model is flexible. There’s no provider network. Community members can find and visit the provider of their choosing.”

The Sedera system seems to be effective. Jamie happily shared that he and his wife along with Tony Dale, the founder, and chairman, have joined the group. In the process of really personalizing and taking charge of his health, he saved $17,000 for the first year they became a member of the Sedera system.

 

Applying buyer scrutiny to your healthcare

When you buy something, you scrutinize everything about it. You read reviews online. You check the price, the durability, and many more. We need to take that same attitude when it comes to healthcare.

If after much consideration, you decide you want the ease and convenience of health insurance, then do it. If you decide you want the transparency and affordability that medical cost-sharing offers, you will be welcomed with open arms.

 

Listen to my interview with Jamie here: https://outcomesrocket.health/sedera/2020/07/

 

Saul
Written By

Saul Marquez

Related Notes

Bringing Life-Saving Targeted Therapies to Patients with Critical Illnesses

  Every year, millions of people are affected by life-threatening conditions like sepsis and acute respiratory distress syndrome...

Read More

Leveraging Digital Innovations and Data-Driven Insights to Improve Consumer Experience

  When should you start seeing a healthcare provider? Is it when you are already sick and manifesting...

Read More

Extending the Point of Care to Any Patient, Any Place, Any Time, Any Device

  Effective communication is an integral part of any relationship or organization, but it is even more significant...

Read More

LATEST EPISODES

Autonomous Medical Coding

Ilyana Rosenberg Principal Product Manager at
Nym Health

Autonomous Medical Coding

Simple, Straightforward, and Direct Healthcare

Mark Newman CEO at
Nomi Health

Simple, Straightforward, and Direct Healthcare

The Role of Consumer Payments Products in Healthcare

Greg Boulton Executive Delivering Corporate Development and Relationship Management in the Payments Space

The Role of Consumer Payments Products in Healthcare