Wally Gomaa's guest appearances

Wally Gomaa

Empowered Patient Podcast

The ShiftShapers Podcast

Reconstructing Healthcare:  Innovative Solutions For Employers To Lower Their Healthcare Costs

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 Wally Gomaa, the Co-Founder of SimplePay Health, provides employer-sponsored health insurance plans that bring price certainty to patients. The plan aligns lower costs with higher quality care, giving the individual transparency about the best providers in their community and out-of-pocket cost, which motivates them to choose higher quality care.  Wally explains, "If you think about what we're doing, we are simplifying the payment model and the plan design model not only to create a better experience. Health insurance is the most complicated industry on the planet. We're using insurance simplification to naturally self-motivate individuals to choose higher-quality providers on their own by getting rid of the complexity of the plan design. Giving the patient member, the plan participant, whatever name we're going to give it, a price out-of-pocket for every covered service before they go." "We make our model available on a national level in partnership with Aetna and their TPA company Meritain. And partnering with a Fortune four organization of their size and scope allows us to have legs and reach anywhere we want to in the country." "The result is not only better affordability, but more importantly, we're getting individuals connected with the best providers in their community and extending the quantity and quality of people's lives. We do find ourselves on the mission of being the life preservation company. We want to get people the best care that extends the quality and the quantity of their lives. And we use insurance simplification to be able to get there. " #SimplePayHealth #HealthInsurance #HealthcareInsurance #PriceTransparency #QualityTransparency #EmployerSponsoredHealthInsurance simplepayhealth.com Download the transcript here

Wally Gomaa, the Co-Founder of SimplePay Health, provides employer-sponsored health insurance plans that bring price certainty to patients. The plan aligns lower costs with higher quality care, giving the individual transparency about the best providers in their community and out-of-pocket cost, which motivates them to choose higher quality care.  Wally explains, "If you think about what we're doing, we are simplifying the payment model and the plan design model not only to create a better experience. Health insurance is the most complicated industry on the planet. We're using insurance simplification to naturally self-motivate individuals to choose higher-quality providers on their own by getting rid of the complexity of the plan design. Giving the patient member, the plan participant, whatever name we're going to give it, a price out-of-pocket for every covered service before they go." "We make our model available on a national level in partnership with Aetna and their TPA company Meritain. And partnering with a Fortune four organization of their size and scope allows us to have legs and reach anywhere we want to in the country." "The result is not only better affordability, but more importantly, we're getting individuals connected with the best providers in their community and extending the quantity and quality of people's lives. We do find ourselves on the mission of being the life preservation company. We want to get people the best care that extends the quality and the quantity of their lives. And we use insurance simplification to be able to get there. " #SimplePayHealth #HealthInsurance #HealthcareInsurance #PriceTransparency #QualityTransparency #EmployerSponsoredHealthInsurance <a href="http://simplepayhealth.com" rel="noopener nofollow" target="_blank">simplepayhealth.com</a> <a href="http://empoweredpatientradio.com/bringing-price-certainty-and-quality-transparency-to-health-insurance-plans-with-wally-gomaa-simplepay-health-transcript" rel="noopener nofollow" target="_blank">Download the transcript here</a>

Bringing Price Certainty and Quality Transparency  to Health Insurance Plans with Wally Gomaa SimplePay Health

In this week's episode, Simple Pay Health co-founder Wally Gomaa discusses the main difficulties facing the health insurance industry. He sees a lack of transparency and complexity, but he also sees stakeholders working to develop a better healthcare model.Contrary to popular belief, he does not think that the healthcare system is broken; rather, he believes that it was not created with the needs of consumers in mind. With a focus on simplicity and transparency for all stakeholders, including patients, providers, and plan sponsors, Simple Pay Health seeks to make healthcare and health insurance operate more like other industries.What You’ll Learn From This Episode:1:38 Cost and complexity being the two primary challenges in the health insurance space. 3:39 Who benefits from the current system, exactly?8:15 Empowering patients by giving them the freedom to select where they receive care.10:08 Implementation of the Simple Pay Health Model in stages. 13:41 How does the new model affect overall claim spending? 15:50 Building a Network for Simple Pay Health: Partnerships and OptimizationEnjoy The Show?Don't miss an episode, subscribe via iTunes, Stitcher or RSS.Leave us a review in iTunes (here's how)Join the conversation by leaving a comment below!

In this week's episode, Simple Pay Health co-founder Wally Gomaa discusses the main difficulties facing the health insurance industry. He sees a lack of transparency and complexity, but he also sees stakeholders working to develop a better healthcare model.Contrary to popular belief, he does not think that the healthcare system is broken; rather, he believes that it was not created with the needs of consumers in mind. With a focus on simplicity and transparency for all stakeholders, including patients, providers, and plan sponsors, Simple Pay Health seeks to make healthcare and health insurance operate more like other industries. What You’ll Learn From This Episode:1:38 Cost and complexity being the two primary challenges in the health insurance space. 3:39 Who benefits from the current system, exactly?8:15 Empowering patients by giving them the freedom to select where they receive care.10:08 Implementation of the Simple Pay Health Model in stages. 13:41 How does the new model affect overall claim spending? 15:50 Building a Network for Simple Pay Health: Partnerships and Optimization Enjoy The Show?<ul><li>Don't miss an episode, subscribe via <a href="https://itunes.apple.com/us/podcast/the-shiftshapers-podcast/id860832782?mt=2" rel="nofollow" target="_blank">iTunes</a>, <a href="http://www.stitcher.com/podcast/the-shiftshapers-podcast" rel="nofollow" target="_blank">Stitcher</a> or <a href="http://thesaltzmangroup.com/feed/podcast/" rel="nofollow" target="_blank">RSS</a>.</li><li><a href="https://itunes.apple.com/us/podcast/the-shiftshapers-podcast/id860832782?mt=2" rel="nofollow" target="_blank">Leave us a review</a> in iTunes (<a href="http://screencast.com/t/ZjKtEeW7pB" rel="nofollow" target="_blank">here's how</a>)</li><li>Join the conversation by leaving a comment below!</li></ul>

EP #435: Just Forget It - and Start Over! — With Wally Gomaa

Wally Gomaa, CEO and Co-Founder of SimplePay Health, joins Michael in this episode of the Reconstructing Healthcare podcast to discuss how they’re empowering employees with high-quality care through easy-to-understand benefit design structures.SimplePay Health aims to disrupt the healthcare industry by making the complicated elements of traditional health plans (deductible, coinsurance, confusing bills) a thing of the past while providing their members with the highest level of care. Based out of Dallas, Texas, SimplePay Health is taking on the status quo to reward employees for making choices that actually help lower overall costs.As a former President of a national insurance carrier, CFO of a healthcare provider and a benefits consultant, Wally has gained unique insight into the healthcare industry and leverages the SimplePay Health platform to address some of the problematic issues within our healthcare delivery and payment system.   Here’s a glance at what you’ll learn from Wally in this episode: The payment system that SimplePay uses to make healthcare a breezeWhy Wally wants price transparency to become price CERTAINTYHow virtual care providers can provide higher quality careWhy simplifying complexities could bring the largest change to the healthcare industryTimestamps:0:00 – Introduction &amp; welcoming Wally to the show1:05 – Who is Wally Gomaa and what is SimplePay Health?2:35 – The Bike Accident: How being hit by a car changed Wally’s perspective on the healthcare industry4:10 – Why haven’t price transparency tools &amp; high-deductible health plans driven meaningful results? 7:10 – What is SimplePay Health doing to simplify health insurance?11:20 – How to show patients the disconnect between quality and price for commodity healthcare services13:35 – Using data to drive down costs whilst providing a higher quality service17:45 – SimplePay Health’s approach to using networks19:30 – Pharmacies &amp; Aligning Incentives: How to reduce the formulary waste and price variations found at pharmacies &amp; align incentives with employees22:50 – Digital Health Providers vs Brick &amp; Mortar Providers: How virtual care providers can provide higher quality care25:20 – How SimplePay Health is implementing digital mental health services27:00 – Member Experience: How do employees navigate their healthcare service when using SimplePay Health?31:50 – Outcomes &amp; Results: What results can employers expect when signing up to SimplePay Health?35:10 – How payments are managed by SimplePay Health38:50 – What is the satisfaction level of employers and employees who use SimplePay Health?42:40 – The evolution, growth, and future of SimplePay Health49:25 – How can people get connected with Wally and SimplePay Health?Resources:SimplePay Health Website: https://www.simplepayhealth.com/Call SimplePay Health: 800-606-3564SimplePay Health Facebook: https://www.facebook.com/simplepayhealth/Wally Gomaa’s LinkedIn: https://www.linkedin.com/in/wallygomaaPodcast Links:Website: http://www.reconstructinghealthcare.com/Apple Podcasts: https://podcasts.apple.com/us/podcast/reconstructing-healthcare-innovative-solutions-for/id1240066325Instagram: https://www.instagram.com/reconstructinghealthcare/Facebook: https://www.facebook.com/ReconstructingHealthcare/LinkedIn: https://www.linkedin.com/in/michaelmenerey/

Wally Gomaa, CEO and Co-Founder of SimplePay Health, joins Michael in this episode of the Reconstructing Healthcare podcast to discuss how they’re empowering employees with high-quality care through easy-to-understand benefit design structures.SimplePay Health aims to disrupt the healthcare industry by making the complicated elements of traditional health plans (deductible, coinsurance, confusing bills) a thing of the past while providing their members with the highest level of care. Based out of Dallas, Texas, SimplePay Health is taking on the status quo to reward employees for making choices that actually help lower overall costs.As a former President of a national insurance carrier, CFO of a healthcare provider and a benefits consultant, Wally has gained unique insight into the healthcare industry and leverages the SimplePay Health platform to address some of the problematic issues within our healthcare delivery and payment system.   Here’s a glance at what you’ll learn from Wally in this episode: <ul><li>The payment system that SimplePay uses to make healthcare a breeze</li><li>Why Wally wants price transparency to become price CERTAINTY</li><li>How virtual care providers can provide higher quality care</li><li>Why simplifying complexities could bring the largest change to the healthcare industry</li></ul>Timestamps:<ul><li>0:00 – Introduction &amp; welcoming Wally to the show</li><li>1:05 – Who is Wally Gomaa and what is SimplePay Health?</li><li>2:35 – The Bike Accident: How being hit by a car changed Wally’s perspective on the healthcare industry</li><li>4:10 – Why haven’t price transparency tools &amp; high-deductible health plans driven meaningful results? </li><li>7:10 – What is SimplePay Health doing to simplify health insurance?</li><li>11:20 – How to show patients the disconnect between quality and price for commodity healthcare services</li><li>13:35 – Using data to drive down costs whilst providing a higher quality service</li><li>17:45 – SimplePay Health’s approach to using networks</li><li>19:30 – Pharmacies &amp; Aligning Incentives: How to reduce the formulary waste and price variations found at pharmacies &amp; align incentives with employees</li><li>22:50 – Digital Health Providers vs Brick &amp; Mortar Providers: How virtual care providers can provide higher quality care</li><li>25:20 – How SimplePay Health is implementing digital mental health services</li><li>27:00 – Member Experience: How do employees navigate their healthcare service when using SimplePay Health?</li><li>31:50 – Outcomes &amp; Results: What results can employers expect when signing up to SimplePay Health?</li><li>35:10 – How payments are managed by SimplePay Health</li><li>38:50 – What is the satisfaction level of employers and employees who use SimplePay Health?</li><li>42:40 – The evolution, growth, and future of SimplePay Health</li><li>49:25 – How can people get connected with Wally and SimplePay Health?</li></ul>Resources:<ul><li>SimplePay Health Website: <a href="https://www.simplepayhealth.com/" rel="nofollow" target="_blank">https://www.simplepayhealth.com/</a></li><li>Call SimplePay Health: 800-606-3564</li><li>SimplePay Health Facebook: <a href="https://www.facebook.com/simplepayhealth/" rel="nofollow" target="_blank">https://www.facebook.com/simplepayhealth/</a></li><li>Wally Gomaa’s LinkedIn: <a href="https://www.linkedin.com/in/wallygomaa" rel="nofollow" target="_blank">https://www.linkedin.com/in/wallygomaa</a></li></ul>Podcast Links:<ul><li>Website: <a href="http://www.reconstructinghealthcare.com/" rel="nofollow" target="_blank">http://www.reconstructinghealthcare.com/</a></li><li>Apple Podcasts: <a href="https://podcasts.apple.com/us/podcast/reconstructing-healthcare-innovative-solutions-for/id1240066325" rel="nofollow" target="_blank">https://podcasts.apple.com/us/podcast/reconstructing-healthcare-innovative-solutions-for/id1240066325</a></li><li>Instagram: <a href="https://www.instagram.com/reconstructinghealthcare/" rel="nofollow" target="_blank">https://www.instagram.com/reconstructinghealthcare/</a></li><li>Facebook: <a href="https://www.facebook.com/ReconstructingHealthcare/" rel="nofollow" target="_blank">https://www.facebook.com/ReconstructingHealthcare/</a></li><li>LinkedIn: <a href="https://www.linkedin.com/in/michaelmenerey/" rel="nofollow" target="_blank">https://www.linkedin.com/in/michaelmenerey/</a></li></ul>