Marpai, Inc. [OTCQX: MRAI] is transforming health plan administration as a national Third Party Administrator (TPA), specializing in data-driven management for self-funded U.S. employers. Anticipating high-cost health events and guiding members to the right care helps reduce avoidable claims while supporting healthier outcomes.
When CEO Damien Lamendola and CFO Steve Johnson took over the struggling TPA in late 2023, they set out to reverse inefficiencies and reposition the company as a market leader. Through a relentless drive to improve key performance indicators, claim turnaround times reduced from 30 days to just nine, and call response times improved from 11 minutes to 11 seconds. For employers, it brings cost savings and reliability, while for employees, Marpai delivers faster support and greater confidence in their health benefits.
As the CEO of a cost containment vendor put it, “There is so much waste, abuse, fraud and neglect. People don't care about your client's claims dollars. But the difference is, Marpai does care.”
Advancing Care with Technology
One of Marpai’s core priorities is helping employers control costs while ensuring members receive timely, reliable support. To make this possible, the company has invested heavily in technology that simplifies access and improves responsiveness.
In 2025, Marpai replaced five fragmented tools with Empara, a single AI-powered member platform. Members can now check claims, deductibles, and provider options in real time. Routine questions are answered instantly by AI, while complex issues go straight to live agents who already have the full context, saving members time and frustration.
This year, Marpai also launched MarpaiRx, a pharmacy benefit management service strengthened by Lamendola’s prior success in building and selling a PBM, helping clients control pharmacy costs while improving member access to medications.
Building on these innovations, Marpai’s Clinical Care Management program combines predictive analytics with a nurse-led team that proactively engages at-risk members. The team reviews claims daily, identifies potential high-cost events, and guides members through personalized action plans to ensure they receive the right care at the right time. This improves outcomes, reduces costs, and provides hands-on support that helps members navigate their care journey efficiently and effectively.
“We are not offering prepackaged, generic health plans. We work with our clients to create solutions that save them money and provide real value,” says Lamendola.
Building Trust through Partnerships
While performance and new services like MarpaiRx tell part of the story, Marpai’s real strength lies in how it works with clients. Rather than positioning itself as just another administrator, the company acts as a partner invested in solving its clients’ most pressing challenges. This mindset has earned trust and led to strong referrals, fueling growth.
The branding of its value proposition, “Marpai Saves,” reflects a promise of cost savings and a genuine partnership, meeting clients where they are and tailoring solutions to their needs.
One healthcare benefit consultant highlighted this approach, saying, “We feel like we are partners with Marpai more than we have with any other TPA or carrier we have ever had. Truthfully, that is a pretty huge compliment from us.”
The addition of seasoned executives has propelled Marpai’s growth. John Powers, now serving as Senior Sales Consultant, and Dallas Scrip, President and leading MarpaiRx, bring decades of industry experience and credibility to the table. Their presence has been crucial in maintaining progress and strengthening its position in the industry.
Marpai’s turnaround demonstrates that with exemplary leadership and innovation, a TPA can move beyond basic administration to deliver real impact. Focused on savings, service, and healthier outcomes, the company has redefined what employers and employees can expect from their health plans.
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