Transparent Health Benefits

Transparent Health Benefits: A Modern Health Plan Solution

We’re upgrading from the old, clunky model of healthcare to something faster, sleeker, and built for today’s challenges. For too long, employers have faced the same uphill battle every year—health plan renewals that feel like a broken record: rising costs, switching carriers, and zero transparency. Transparent Health is here to change that. By eliminating unnecessary cost layers and injecting cost-saving programs, we provide complete transparency on how your healthcare dollars are spent.

Who’s it for? Transparent Health is perfect for employers with 50+ employees. By removing carrier intervention and simply renting their network, we design health plans for the right reasons—your reasons. We create long-term solutions to rising healthcare costs, ensuring you can focus on building a sustainable employee benefits package.

Key Benefits of Transparent Health

  1. Full Transparency & Reporting Most employers have no idea where their premium dollars are going. With Transparent Health, you’ll join the 1% of employers who can account for every dollar. Our real-time reporting gives you the power to make data-driven decisions and customize your health plan to address future challenges.
  2. Prescription Drug Carve-Out & Management We’ve removed carrier contracts with Pharmacy Benefit Managers (PBMs) to give you full control and transparency over your prescription costs. With Transparent Health, there’s no money moving behind the scenes—just clear, exact pricing for your prescription drug expenses. Plus, we’ll help manage compliance and formulary decisions to keep future costs down.
  3. Employee Price & Quality Transparency Employees are often left in the dark about healthcare costs and quality. Transparent Health gives them access to this information before undergoing any procedures, empowering them to make informed choices. Engaged employees lead to lower claim costs and smarter healthcare decisions.
  4. Proactive Disease & Wellness Management Our team of nurses actively monitors healthcare data to provide proactive disease management. By educating employees on ongoing treatment and compliance, we break the cycle of new high-cost claimants driving up plan costs. This improves both employee health and your bottom line.
  5. High Claimant Billing Audit & Clinical Review High claimants typically drive most healthcare costs. Transparent Health audits these claims and provides clinical review to ensure accuracy and reduce unnecessary expenses, helping you better manage your plan.

Why Choose Transparent Health?

  • Accountability Through Transparency: We target all the issues driving up healthcare costs and provide detailed reporting so you know where every dollar is spent.
  • Cost Savings: By cutting out the middlemen, we reduce unnecessary expenses and deliver a more cost-effective health plan.
  • Flexibility & Control: Transparent Health gives you the flexibility to shape your health plan to meet your unique needs. Annual renewals become a strategic opportunity, not a stressful process.


We’ve upgraded from a flip phone to the latest smartphone—sleeker, smarter, and built for the future. Now let’s take care of it and drive your health plan into the future!