Because their relational orbit includes employers, members, payers, providers, brokers, TPAs are a single store of truth with a universal view into member eligibility and every pre-certification or pre-authorization request. TPAs help with the design, launch, and ongoing management of self-insured employers' health plans. Sustainable change requires not only that plan members can access new care models, but that they can intelligently and pro-actively navigate their care landscape in real-time, as their care needs arise.įlume is bringing tech- and data-enabled proactive plan management and member engagement into one of healthcare's most opaque legacy spaces: third-party (health plan) administration ( TPA). Each play a role in reducing costs and improving quality of care, but all are limited in their ability to create systemic change. New care models like virtual primary and behavioral care, insurance navigation and digital therapeutics have emerged during healthcare's current digital transformation moment. On average, Flume-designed plans save employers nearly $5,000 per employee per year.

By marrying active employer and member engagement with a tech- and data-forward product, Flume leapfrogs legacy health plan administrators' capabilities. Flume's administrator model allows self-insured employers and their workforces to unbundle their health plans and augment or replace legacy off-the-shelf plans with specialized providers who address specific populations with conditions such as MSK pain, diabetes, mental health and many more. Launched in 2020, Flume Health is a new generation of health plan administrator intentionally built to reduce healthcare costs, improve quality of care and transform the user experience for both employers and members. Existing investors Accomplice, Founder Collective and Primary Venture Partners also participated in the Seed II round, which brings Flume's total raise to $10 million. NEW YORK, /PRNewswire/ - Flume Health, a health plan administration platform for the modern fragmented healthcare ecosystem, today announced that it has raised $6 million in equity funding led by new investor Crosslink Capital, with participation from new investors Route 66 Ventures and Convene CEO Ryan Simonetti.

Flume health provider portal