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Healthwallet

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Employer healthcare cost containment with concierge-level benefits navigation.

Healthwallet is a cost containment and concierge healthcare platform built for self-insured employers, combining benefits transparency, navigation tools, and clinical support in one system. The platform gives employees direct access to cost and quality information so employers can reduce spend without reducing coverage quality. On MarketScale, Healthwallet publishes content for HR and benefits leaders evaluating next-generation healthcare management tools.

15 episodes
Channel Brief·Healthwallet · 15 episodes
Updated Apr 5, 2023

Healthcare App Simplifies Plan Navigation and Cost Transparency

HealthWallet argues that mobile apps and transparent pricing data can demystify health insurance, shifting power to consumers. The channel grounds this through founder interviews, partner testimonials, and real-world use cases.

HealthWallet's core argument is that healthcare's complexity and opacity—around pricing, coverage, and plan features—can be resolved through a single mobile app that consolidates plan information, pricing transparency, and telehealth tools. The channel repeatedly validates this through founder Ryan Coplon's background in employee benefits consulting, partner testimonials from administrators like ClaimChoice, and concrete program descriptions like Avance Health's $15 copay primary care visits.

Drawn from How HealthWallet Makes Healthcare Easy and 3 more →

“The more progressive we got with our product, the clearer it became that this was really a problem.”

Ryan Coplon, Co-Founder and President of HealthWallet

By the numbers

76%

prescription drug cost increase between 2000 and 2017

3

in-network primary care visits included in Avance Health program

$15

copay for in-network primary care visits under Avance Health

What the channel argues

InsightHealthWallet consolidates plan info, pricing, and telehealth into one mobile app to simplify healthcare navigation.→
InsightInsurance companies treat provider-negotiated pricing as proprietary, blocking patients from cost-conscious shopping.→
InsightHealth plans become easy when not used, but navigating them for actual care proves challenging without tools.→
InsightHealthWallet operates on modular infrastructure, allowing plan administrators to deploy only relevant member-facing features.→
InsightTransparency laws require hospitals to post contracts and cash prices, creating opportunity for consumer-friendly platforms.→

What you'll learn

•Why healthcare lacks transparency compared to other consumer markets and how apps can fix information asymmetry.
•How health plan members currently access benefits through dashboards and what features drive engagement most.
•Why TPAs and plan administrators need customizable technology to match their specific member populations and compliance needs.
•How prescription drug costs have risen dramatically and what membership-based alternatives exist for cost reduction.
•Why educating consumers on plan design and coverage limits is critical to balancing expectations with actual benefits.

What to do about it

→Audit your current health plan member communication for clarity on coverage, copays, and cost-sharing rules; identify gaps HealthWallet or similar apps could address.
→If you administer self-funded plans, evaluate modular mobile platforms that allow you to customize which features your members see rather than one-size-fits-all solutions.
→Develop member education programs that explain what elective procedures mean, what your plan covers, and how to use price-shopping tools before seeking care.

Who and what shows up

Ryan Coplon

Co-Founder and President of HealthWallet

Coplon repeatedly articulates the thesis that healthcare complexity and pricing opacity can be solved through mobile apps and transparency, grounding it in his background in benefits consulting.

Brett Wilkinson

President and Chief Sales Officer of ClaimChoice Administrators

Provides third-party validation that HealthWallet's customization and responsiveness help independent TPAs tailor technology to member needs.

Daniel Corliss

Chief Executive Manager and Founding Partner at BSP (Business Stimulus Partners)

Discusses how transparency laws requiring hospitals to post contracts and prices are creating new opportunities in health plan innovation.

Greg Santulli

CEO of RX Valet

Addresses rising prescription drug costs and membership-based alternative models that help consumers lower medication expenses.

Charlie Geiselhart

CRO of Healthcare2U

Presents alternative healthcare coverage models for part-time and 1099 workers who lack access to traditional employer-sponsored insurance.

Questions this channel answers

Q

Why is shopping for healthcare different from shopping for other services?

Insurance companies treat provider pricing as proprietary information, making it impossible for patients to compare costs and make cost-conscious decisions like they would for other purchases.

The New Wave of Healthcare Consumerism →
Q

What specific features should a health plan app include?

Plan information, prescription cost lookups, telehealth access, and pricing tools that let members shop procedures. Avance Health, for example, offers in-network primary care visits and 24/7 access to benefits through mobile and dashboard.

Avance Health: Improving Benefits, Improving Life →
Q

How can health plans balance member expectations with what they actually cover?

Education is key. Customers need to understand plan design limits and what constitutes covered versus uncovered care before they need it, so they know what to expect when using benefits.

Educating Customers Will Be Key to Balancing Customers E… →
Q

What role do TPAs play in choosing health tech platforms?

TPAs like ClaimChoice require technology partners that offer customization and responsiveness so they can tailor solutions to their members rather than accepting generic offerings.

Brett Wilkinson from ClaimChoice Administrators Provides… →
Q

How did HealthWallet originate?

Ryan Coplon came from employee benefits consulting and later partnered at a firm managing self-funded health plans. He realized the healthcare system was antiquated and created HealthWallet to bring transparency and convenience to plan navigation.

A Different Approach to Health Plans with HealthWallet’s… →
Topics:Mobile health apps and member engagementHealthcare pricing transparency and cost comparisonPrescription drug cost managementElective procedure coverage and navigationTelehealth and primary care access
Themes:Healthcare consumerism requires transparency, not just accessMobile apps are the interface between members and complex plan dataEducation and customization unlock plan adoption and engagement

Industry context

The global mHealth apps market is projected to reach $172.67 billion by 2035, driven by rising consumer health concerns and increased adoption of mobile-based health information management.

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