Our approach to healthcare

Why a parallel healthcare economy beats high-cost insurance.

Parallel economies form when the main one stops serving its customers. In healthcare, it already exists — it's just not on the renewal spreadsheet.

Our story

One of our advisors sold group health insurance for 15 years — then walked away from the book.

Broker, then a first cost-sharing client, then all in. Not because it was trendy, but because the math for families kept getting worse.

You should be skeptical. We'll make the case against ourselves before we're done.

Our goal: you leave still skeptical, but better informed.

Our story4:20

Why we walked away from the old model

Just moving the paperwork

$200B

a year on claims, payments and prior authorizations in U.S. health care.

Sahni NR, Gupta P, Peterson M, Cutler DM. Health Affairs Scholar. 2023;1(5):qxad053.

Cost containment is whack-a-mole.

Contain one cost and another pops up: prescriptions, imaging, specialty drugs, the latest blockbuster medication. Renewals keep climbing.

RxImagingSpecialtyNew weight-loss drugs
Four ways to spend money

Third-party payment lands us in the worst box.

Spent on me
Spent on others
My money
Cost + quality
Cost
Someone else's
Quality
Neither

The Milton Friedman framing.

Every box in the middle adds cost. The parallel economy deletes boxes.

Traditional

PatientEmployerCarrierNetworkProvider

Parallel

Patientpays directly, sees the priceProvider
A new mental model

Two buckets, each solved on its own terms.

Don't buy groceries the way you'd rebuild a house after a fire. Paying for both the same way makes everyday care more expensive and more complicated than it needs to be.

Why we approach healthcare this way →

What to look for

Every option worth your time shares four habits.

Pays the provider directly
Removes a middleman
Aligns incentives
Simpler than what it replaces
The best case against us

Six honest objections, answered.

Objection 1 of 6

"There's no promise to pay."

What's true

Correct. Sharing is voluntary and never guaranteed.

Where it breaks

Compared to what? Insurance has denials, prior authorizations and surprise out-of-network bills.

Objection 2 of 6

"Pre-existing conditions get excluded."

What's true

Large needs tied to them phase in over time.

Where it breaks

Day-to-day care for those conditions lives with your everyday-care doctor from day one.

Objection 3 of 6

"My people need a network."

What's true

A card at the front desk is easy and familiar.

Where it breaks

Easy isn't cheap. You need a doctor you trust, not a list.

Objection 4 of 6

"This only works for healthy people."

What's true

Maintenance medications generally aren't shared.

Where it breaks

Chronic care fits everyday care. An ICHRA can keep an ACA plan open if that's the better fit.

Objection 5 of 6

"It's unregulated, and they'll drop you when you're sick."

What's true

It isn't insurance, so insurance rules don't apply.

Where it breaks

Every member gets the same published guidelines. Read them first — we'll walk you through them.

Objection 6 of 6

"Employers can't contribute."

What's true

Right: employer ICHRA dollars don't buy a share.

Where it breaks

ICHRA is the on-ramp, and someone has to guide the switch. That's us.

Health benefits are having their pension-to-401(k) moment.

Retirement

Pension 401(k)

Health

Group plan ICHRA + parallel options

Deep dive10:00

Parallel healthcare, explained in 10 minutes

Medical cost sharing is not insurance. Sharing is voluntary, not guaranteed, and subject to each program's published guidelines. Members remain responsible for their bills.

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