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Marpai

Public facts

Technology-powered TPA

Technology-powered TPA for self-funded employers, with in-house care management, RBP/OON repricing, MarpaiRx, and a small-group Vitality plan.

Visit marpaihealth.com

Overview

Marpai Administrators LLC is a TPA for self-funded health plans, based at 615 Channelside Dr, Suite 207, Tampa, Florida. Public pages describe health, COBRA, dental, and vision administration; in-house utilization, case, acute, and chronic care management; national provider and pharmacy network access; out-of-network repricing (Medicare Plus and Cost Plus); reference-based pricing; captives; subrogation; MarpaiRx PBM; a pharmacy savings program; the GoMarpai / myMarpai member app; and Marpai Vitality for small employers under 100 employee lives.

Why it matters Marpai is a TPA that publishes an in-house PBM (MarpaiRx) and a distinct small-group Vitality product, plus RBP/OON repricing.

Target buyer
Self-funded employers and brokers, including small groups considering Marpai Vitality (under 100 employee lives).
Pricing model
Not published for TPA administration; MarpaiRx described as one flat fee
Savings percentages (40%+ vs fully insured network discounts, up to 60% OON, up to 75% specialty Rx, 25%+ pharmacy spend) are vendor claims, not a public PEPM card. MarpaiRx: eligible rebates passed to employers; 88.84% generic dispensing rate stated.
Availability
National
Research
Last researched 2026-08-23
Public facts category

Key features

  • Medical, dental, vision, and COBRA administration
  • In-house UM, CM, acute, and chronic care management
  • SMART claims processing and high-dollar clinical review
  • Out-of-network repricing (Medicare Plus / Cost Plus)
  • Reference-based pricing and direct-contracting options
  • MarpaiRx PBM (flat-fee claim; 60,000 pharmacies; rebates to employers)
  • Pharmacy savings program for specialty and high-cost drugs
  • Marpai Vitality small-employer plan
  • GoMarpai / myMarpai portal and shopping tool

Integrations

  • National provider networks (unnamed list)
  • National pharmacy networks / 60,000 in-network pharmacies via MarpaiRx
  • Most PBMs compatible with the pharmacy savings program (vendor statement)
  • Telehealth (named as a capability)
  • Captive solutions (named; managers not listed)

Overview

Marpai (pronounced Mar-pay on the site) is a technology-powered TPA for self-funded employers. The footer identifies Marpai Administrators LLC, 615 Channelside Drive Suite 207, Tampa, Florida 33602.

The homepage frames Marpai as a one-stop administrator: claims, networks, cost containment, dental/vision/COBRA, and an in-house clinical team for chronic, acute, and utilization management. A banner promotes a new health plan for small employers. Marpai Vitality is described as exclusive to small employers with under 100 employee lives.

Member tools are branded GoMarpai / myMarpai (portal and app): digital ID card, benefits, deductibles, provider search, family care, claims, telehealth, and a shopping tool.

Key Capabilities

  • Plan administration: health, COBRA, dental, vision, compliance, analytics, plan design.
  • Quality-care access: top providers (unnamed), national pharmacy networks, in-house CM/UM, telehealth.
  • Cost containment: network discounts, OON repricing, pharmacy savings, RBP, captives, subrogation, SMART claims, stop-loss discounts (carrier names not listed).
  • OON repricing using a price-reference database, provider negotiation, supplemental network, Medicare Plus and Cost Plus.
  • Claims: automation on high-cost codes, clinical review of high-dollar claims, extra pre-cert on selected procedures/diagnoses.
  • Member outreach for gaps in care and provider guidance.
  • MarpaiRx: in-house PBM; vendor claims include more than 25% pharmacy-spend savings, rebates to employers, one flat fee, 60,000 pharmacies, 12 discount-card reductions at POS, specialty and mail order, 88.84% GDR.
  • Pharmacy savings program: up to 75% savings on specialty/high-cost drugs; employer pays a portion of generated savings; year-round; compatible with most PBMs.
  • Marpai Vitality for groups under 100 employee lives.

Integrations & Ecosystem

Networks and stop-loss partners are described as available, not named. MarpaiRx can be the PBM; the savings program can sit on other PBMs. Telehealth is named without a vendor. Captive solutions are named without managers.

Pricing

TPA PEPM is not published. MarpaiRx is marketed as one flat fee without a dollar amount. Percentage savings claims are marketing, not quotes.

Notes & Limitations

  • Public company / ticker history is not restated here unless needed; this entry is the TPA product on marpaihealth.com.
  • Many savings figures lack public methodology.
  • “Top provider networks nationwide” is not a published directory.
  • Vitality eligibility is under 100 employee lives per the site; other size limits are not specified.

Sources

Tags: TPA · self-funded · RBP · PBM · small group