보험 / 결제
Health insurance and payment solutions
| Business Model | Revenue Model | Key Metrics | Key Players |
|---|---|---|---|
Health Insurance 건강 보험 | Premiums – claims | Loss ratio, CAC, Retention | Oscar Health, Clover Health, 건강보험 |
Price Transparency 의료비 투명성 | SaaS + referral revenue | Search volume, Accuracy, Retention | Healthcare Bluebook, Amino, 의료비투명성 |
HSA/FSA 의료 저축 계좌 | Account fees + AUM spread | Accounts opened, Contribution volume, Retention | HealthEquity, WageWorks, 의료저축계좌 |
Medical Billing 의료비 청구 | SaaS subscription | Claim error rate, DSO, Retention | Kareo, Practice Fusion, 의료비청구 |
Prior Authorization 사전 승인 | SaaS fees | Approval time, Automation rate, Retention | CoverMyMeds, ePA, 사전승인 |